Claim total
$13,278.16
base $116.56 · payer covered $10,436.13
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-10-17
- Stop
- 2019-11-13
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Georgene Bergnaum
- Care site
- care site GROUP HEALTH PLAN INC
- Payer
- payer Medicare
Record id
056f2732-3438-a432-cabc-95b888c4116a