Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2025-03-24
- Stop
- 2025-03-24
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-bdc3-312a49852c45