Claim total
$978.26
base $155.66 · payer covered $782.61
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2020-12-17
- Stop
- 2020-12-17
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-a898-a2ba3924b042