Claim total
$15,238.19
base $127.17 · payer covered $12,190.56
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-08-01
- Stop
- 2025-08-01
The parties
- Patient
- patient Jaime Howard Spinka
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
07e284d3-e639-290a-193f-86b1caad843e