CLM-2025-1245
Submitted on 2025-12-15
Claim Summary
Service
Skilled Nursing Care
SNF-001
Claim Amount
$3,240
Date of Service
2025-12-15
Organization
Sunrise Senior Care
Margaret Anderson
MS-10234
Medicare Part A
1234-56-7890A
(617) 555-0123
margaret.a@email.com
123 Oak Street, Boston, MA 02101
Caregiver & Payout
Jennifer Smith, RN
RN-12345
(617) 555-9876
j.smith@sunrisecare.com
2025-12-18
2025-12-19
Notes
Patient received skilled nursing care for wound management and medication administration. Services provided during post-operative recovery period.
Timeline
2025-12-15
Service provided
Skilled nursing care delivered to patient
2025-12-15
Claim submitted
Claim submitted to insurance provider same day
2025-12-16
Claim processing
Insurance company began processing claim
2025-12-18
Claim approved
Insurance approved claim for payment
2025-12-18
Insurance paid
Payment received from insurance company
2025-12-19
Caregiver paid
Payment processed to caregiver
Documents
Claim Form
PDF • 245 KB
Medical Records
PDF • 1.2 MB
Insurance Card
PDF • 89 KB