Claim total
$10,810.36
base $116.56 · payer covered $5,973.53
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- —
- Start
- 1990-02-16
- Stop
- 1990-03-15
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Scott Block
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-9672-1a9a4b19def2