Claim total
$316.28
base $110.63 · payer covered $253.02
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 1996-10-11
- Stop
- 1996-10-11
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Chuck Jacobson
- Care site
- care site BEST CARE HOME HEALTH, INC.
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-6bcf-aa62ace8ba58