Claim total
$6,876.63
base $127.17 · payer covered $5,475.81
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-12-26
- Stop
- 2018-12-26
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-fb07-8e4465e28426