Claim total
$10,810.36
base $116.56 · payer covered $8,648.29
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-11-22
- Stop
- 2025-12-19
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Scott Block
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-77cc-00582911fb2b