Claim total
$3,818.26
base $116.56 · payer covered $2,868.21
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2018-07-08
- Stop
- 2018-07-12
The parties
- Provider
- provider Georgene Bergnaum
- Care site
- care site GROUP HEALTH PLAN INC
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-e1d0-d30d4dda985e