Claim total
$8,133.48
base $113.13 · payer covered $8,083.48
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2016-12-08
- Stop
- 2016-12-16
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-9044-6b1b031ed078