Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2021-08-03
- Stop
- 2021-08-03
The parties
- Patient
- patient Carmen Omer Mayer
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer No insurance
Record id
36c86f70-85b0-1d4b-810f-ce2ff6e6ce15