Claim total
$8,165.27
base $127.17 · payer covered $6,501.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-07-08
- Stop
- 2024-07-08
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-eaf8-d22afb796116