Claim total
$5,433.44
base $127.17 · payer covered $4,346.76
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-11-19
- Stop
- 2025-11-19
The parties
- Patient
- patient Tatiana Mozella Doyle
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
24379d93-202b-0dcf-1d27-4814704f0599