Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2025-08-25
- Stop
- 2025-08-25
The parties
- Patient
- patient Rodrigo Hickle
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
- Payer
- payer Humana
Record id
2ae9c3d3-e800-aa81-89e0-028ef00efbf4