Claim total
$6,707.07
base $127.17 · payer covered $3,361.89
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-07-01
- Stop
- 2020-07-01
The parties
- Patient
- patient Danuta White
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Cigna Health
Record id
13b7ba66-6b7b-ffe4-fd45-1f154e69cf60