Claim total
$16,939.09
base $113.13 · payer covered $16,904.09
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2019-03-22
- Stop
- 2019-04-15
The parties
- Patient
- patient Efren Wilderman
- Provider
- provider Harold Hermann
- Care site
- care site CATHOLIC ELDERCARE
- Payer
- payer Dual Eligible
Record id
0400ef40-232f-be7a-fed6-5a333989d0fd