Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-03
- Stop
- 2014-02-03
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-7b53-9bdc38bd307a