Claim total
$20,681.56
base $116.56 · payer covered $20,646.56
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Alzheimer's disease26929004
- Start
- 2024-04-19
- Stop
- 2024-06-03
The parties
- Patient
- patient Efren Wilderman
- Provider
- provider Leonia Deckow
- Care site
- care site HENNEPIN HEALTHCARE HOSPICE
- Payer
- payer Dual Eligible
Record id
0400ef40-232f-be7a-7737-44db55d10c96