Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 1982-06-04
- Stop
- 1982-06-04
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-0e59-4ba87e64b515