Claim total
$26,593.73
base $113.13 · payer covered $26,543.73
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2023-05-19
- Stop
- 2023-06-28
The parties
- Patient
- patient Terrance Raymon Kuhic
- Provider
- provider Ilene Waelchi
- Care site
- care site RICHFIELD OPCO, LLC
- Payer
- payer Medicaid
Record id
03e733d5-721a-3740-87a0-bb9c1dfde95f