Claim total
$16,569.23
base $127.17 · payer covered $13,255.39
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-04-03
- Stop
- 2022-04-03
The parties
- Patient
- patient Grover Dario Welch
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
274aa74a-1b08-ee17-6494-3599f82d913e