Claim total
$562.51
base $93.39 · payer covered $512.51
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2009-12-30
- Stop
- 2009-12-30
The parties
- Patient
- patient Stephen Clifford Feil
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
326feed2-c4a1-5a79-0a6c-39537ccffaa8