Claim total
$10,810.36
base $116.56 · payer covered $10,775.36
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-05-29
- Stop
- 2026-06-26
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Georgene Bergnaum
- Care site
- care site GROUP HEALTH PLAN INC
- Payer
- payer Dual Eligible
Record id
05c57aa9-c3e8-2f04-0944-891e82ce279a