Claim total
$1,196.90
base $93.39 · payer covered $957.50
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-08-23
- Stop
- 2025-08-23
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-1bd2-0293edb06785