Claim total
$949.77
base $127.17 · payer covered $949.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-06-16
- Stop
- 2022-06-16
The parties
- Patient
- patient Carley Vicenta Kohler
- Provider
- provider Juli Predovic
- Care site
- care site KINDRED AT HOME
- Payer
- payer Humana
Record id
2f52c894-2678-f09a-1904-29141604b3d2