Claim total
$10,810.36
base $116.56 · payer covered $8,648.29
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- —
- Start
- 2020-12-10
- Stop
- 2021-01-07
The parties
- Provider
- provider Emerson Ortiz
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-3442-f351808f9771