Claim total
$13,278.16
base $116.56 · payer covered $10,436.13
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2000-10-04
- Stop
- 2000-10-31
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d895-9e8dd80012c7