Claim total
$7,931.26
base $116.56 · payer covered $6,158.61
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 2024-08-05
- Stop
- 2024-08-19
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Jenell Klein
- Care site
- care site MARY T HOME HEALTH INC
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-793c-27c3f11ae86a