Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2026-03-13
- Stop
- 2026-03-13
The parties
- Patient
- patient Marsha Rachele Windler
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicaid
Record id
2437c666-7cb5-3578-3f80-d0591daf931e