Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-11-06
- Stop
- 2019-11-06
The parties
- Patient
- patient Marylou Abernathy
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Humana
Record id
364c439b-3ca4-d8e6-0449-e15a85856b69