Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-01-02
- Stop
- 2025-01-02
The parties
- Patient
- patient Kendra West
- Provider
- provider Juli Predovic
- Care site
- care site KINDRED AT HOME
- Payer
- payer Medicare
Record id
3a2978f5-5447-2483-e829-e74b2eae4951