Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2026-02-18
- Stop
- 2026-02-18
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-46c9-b95294f717df