Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-03-02
- Stop
- 2025-03-02
The parties
- Patient
- patient Donnie Walton Murazik
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
2f90a40b-d771-5e53-0b8f-da59be350728