Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-08-28
- Stop
- 2024-08-28
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-7255-79da0ac47c07