Claim total
$7,519.96
base $116.56 · payer covered $7,484.96
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 1981-01-02
- Stop
- 1981-01-15
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Ellsworth Marquardt
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-66d6-2ba55dc101ac