Claim total
$10,810.36
base $116.56 · payer covered $8,648.29
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- —
- Start
- 1998-08-11
- Stop
- 1998-09-06
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Emerson Ortiz
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-ae5d-58ea0fdb5e55