Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2025-02-07
- Stop
- 2025-02-07
The parties
- Patient
- patient Lynne Aileen Kunde
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Aetna
Record id
0adabb52-a752-f68a-c27e-93fd0dd6e76d