Claim total
$1,344.53
base $110.63 · payer covered $1,309.53
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-08-04
- Stop
- 2024-08-04
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Leisha White
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-b165-88cdb5f54638