Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2023-01-08
- Stop
- 2023-01-08
The parties
- Patient
- patient Danilo Volkman
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
36724fda-fdcf-8680-235d-702ddcdf999b