Claim total
$521.93
base $110.63 · payer covered $486.93
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-07-30
- Stop
- 2024-07-30
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Kizzy Runolfsdottir
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-2bac-59b5efcb0f5d