Claim total
$10,399.06
base $116.56 · payer covered $8,319.25
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 2025-12-05
- Stop
- 2025-12-26
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Emerson Ortiz
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-d03f-8615400b9b36