Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2018-09-21
- Stop
- 2018-09-21
The parties
- Patient
- patient Delois Misti Kassulke
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Aetna
Record id
338d8130-ed7a-f2fb-aa0c-23a310bd2a04