Claim total
$5,874.76
base $116.56 · payer covered $4,513.41
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-12-21
- Stop
- 2019-12-30
The parties
- Provider
- provider Ellsworth Marquardt
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-f74d-9cf2dee47bb8