Claim total
$316.28
base $110.63 · payer covered $281.28
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-09-24
- Stop
- 2024-09-24
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Chuck Jacobson
- Care site
- care site BEST CARE HOME HEALTH, INC.
- Payer
- payer Dual Eligible
Record id
050746ba-be7e-c592-852e-32a84fab00d6