Claim total
$9,161.73
base $113.13 · payer covered $9,111.73
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2017-06-23
- Stop
- 2017-07-04
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Avery Sanford
- Care site
- care site REDEEMER RESIDENCE, INC.
- Payer
- payer Medicaid
Record id
046c8377-6cc1-c8f9-a574-8bae35a71a9e