Claim total
$556.74
base $110.63 · payer covered $445.39
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-04-06
- Stop
- 2024-04-06
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Theron Donnelly
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
01845754-7d83-d7eb-2535-edaee2566b30