Claim total
$15,742.53
base $113.13 · payer covered $15,692.53
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2020-11-03
- Stop
- 2020-11-24
The parties
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-e1bd-15e2c4c0e22c