Claim total
$5,665.68
base $113.13 · payer covered $5,615.68
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2024-12-29
- Stop
- 2025-01-03
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Rosalina Bartell
- Care site
- care site ST. THERESE TCU NORTH, LLC
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-ec68-adb8fa9fdff0