Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2026-09-02
- Stop
- 2026-09-02
The parties
- Patient
- patient Herbert Alvaro Fisher
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Anthem
Record id
1b59b12b-c9bb-171d-b18f-7fe64ebaaefc