Claim total
$1,194.57
base $110.63 · payer covered $955.65
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-11-12
- Stop
- 2024-11-12
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Shannon Shanahan
- Care site
- care site CHILDREN'S HEALTH CARE
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-5409-f14b12b1adb7