Claim total
$10,810.36
base $116.56 · payer covered $7,567.25
The visit
- Class
- Hospice
- Code
- 305336008
- Reason
- —
- Start
- 2004-10-22
- Stop
- 2004-11-15
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-5b60-f852abcfb6ec