Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-11-24
- Stop
- 2020-11-24
The parties
- Patient
- patient Buddy Simon Bogisich
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Humana
Record id
18b7170d-1f17-f6bb-ec95-f4b4a65e3f8d