Claim total
$566.96
base $155.66 · payer covered $531.96
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-07-28
- Stop
- 2024-07-28
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-4f9c-d23527e2c03d