Claim total
$14,392.53
base $127.17 · payer covered $14,357.53
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-08-09
- Stop
- 2022-08-09
The parties
- Patient
- patient Fawn Fred Considine
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Dual Eligible
Record id
3ac9b22c-79ba-7b95-2835-6a5871424240