Claim total
$521.93
base $110.63 · payer covered $417.54
The visit
- Class
- Home
- Code
- 439708006
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2026-02-22
- Stop
- 2026-02-22
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Shannon Shanahan
- Care site
- care site CHILDREN'S HEALTH CARE
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-ef4b-908af3c9a481