Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-03-18
- Stop
- 2023-03-18
The parties
- Patient
- patient Sammy Connelly
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer No insurance
Record id
0f125ecc-9c72-2557-8cc5-a1ce0f877138