Claim total
$14,923.36
base $116.56 · payer covered $11,752.29
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Alzheimer's disease26929004
- Start
- 1990-05-07
- Stop
- 1990-06-07
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Emerson Ortiz
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-3da9-1c8f01ba647f