Claim total
$16,770.78
base $113.13 · payer covered $13,230.22
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2025-11-02
- Stop
- 2025-11-27
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Senaida Jakubowski
- Care site
- care site BENEDICTINE CARE CENTERS
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-09ae-a887d188eeb3