Claim total
$5,048.73
base $113.13 · payer covered $4,998.73
The visit
- Class
- Skilled nursing facility
- Code
- 32485007
- Reason
- Patient transfer to skilled nursing facility25675004
- Start
- 2018-08-26
- Stop
- 2018-08-29
The parties
- Patient
- patient Louella Roberts
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
05092f50-4c35-2d72-3432-f9239bee1cd3