Claim total
$5,920.14
base $127.17 · payer covered $4,736.11
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-12-17
- Stop
- 2022-12-18
The parties
- Patient
- patient Brad Yong Reichel
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
131a22f5-2cf1-9507-0466-f36dba95b277