Claim total
$5,052.16
base $116.56 · payer covered $5,052.16
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- —
- Start
- 1946-01-15
- Stop
- 1946-01-25
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Scott Block
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-d293-14f55c5e9ab5