Claim total
$521.93
base $110.63 · payer covered $486.93
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-08-03
- Stop
- 2024-08-03
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Kizzy Runolfsdottir
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-15d3-6b3c196c74ae