Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2020-06-05
- Stop
- 2020-06-05
The parties
- Patient
- patient Sylvie Viviana Feest
- Provider
- provider Juli Predovic
- Care site
- care site KINDRED AT HOME
- Payer
- payer Dual Eligible
Record id
3206c5ca-dc89-df44-1e22-8dd5daff25dc