Claim total
$4,353.72
base $127.17 · payer covered $4,318.72
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Acute allergic reaction241929008
- Start
- 2017-10-08
- Stop
- 2017-10-08
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-ade8-fababe90674c