Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2019-06-20
- Stop
- 2019-06-20
The parties
- Patient
- patient Emil Valentin Howell
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
3646307f-5ee7-dfd4-1e19-da3fea3661fb