Claim total
$728.02
base $110.63 · payer covered $582.41
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-03-23
- Stop
- 2024-03-23
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-5f5c-4690ee93d360