Claim total
$10,810.36
base $116.56 · payer covered $10,760.36
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1992-11-04
- Stop
- 1992-11-28
The parties
- Patient
- patient Susanna Avis Emard
- Provider
- provider Scott Block
- Payer
- payer Medicaid
Record id
0443166c-c803-503e-8829-6660683b42ef