Claim total
$12,044.26
base $116.56 · payer covered $9,449.01
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2013-01-06
- Stop
- 2013-01-30
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Leonia Deckow
- Care site
- care site HENNEPIN HEALTHCARE HOSPICE
- Payer
- payer Medicare
Record id
058279b6-7701-4823-dd75-a2545c6e0332