Claim total
$30,652.08
base $76.30 · payer covered $15,066.70
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 2017-05-08
- Stop
- 2017-05-10
The parties
- Patient
- patient Felipe Dwain Keebler
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Humana
Record id
02f04cf4-122a-e8d3-7046-42673b2043ca