Claim total
$4,843.08
base $113.13 · payer covered $4,793.08
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2024-11-04
- Stop
- 2024-11-08
The parties
- Patient
- patient Rex Jules Denesik
- Provider
- provider Lacey Stroman
- Care site
- care site MOUNT OLIVET CAREVIEW HOME
- Payer
- payer Medicaid
Record id
06303127-1d9c-5fa8-cdc9-640ac6ab584f