Claim total
$10,810.36
base $116.56 · payer covered $8,648.29
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-10-21
- Stop
- 2018-11-18
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Whitney Hammes
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-7cf9-0854e50cdf51