Claim total
$7,105.23
base $113.13 · payer covered $7,070.23
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2017-09-09
- Stop
- 2017-09-18
The parties
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-61f7-6f59fc92a691