Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2024-05-29
- Stop
- 2024-05-29
The parties
- Patient
- patient Becki Yvonne Weimann
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
20189b2b-d97e-8e5e-cba5-ee0f9bbb4431