Claim total
$2,580.93
base $113.13 · payer covered $2,530.93
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2016-10-10
- Stop
- 2016-10-11
The parties
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-d862-34bc15d546d9