Claim total
$13,059.39
base $127.17 · payer covered $6,607.55
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-02-21
- Stop
- 2024-02-21
The parties
- Patient
- patient Frieda Myrle Cartwright
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Cigna Health
Record id
0f642ea1-aedc-2a2b-ca72-1e5dd354d7f4