Claim total
$2,584.36
base $116.56 · payer covered $1,881.09
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2017-06-24
- Stop
- 2017-06-25
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Scott Block
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-185b-b11120f1d511