Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-03-01
- Stop
- 2023-03-01
The parties
- Patient
- patient Dexter Schmidt
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
383f38bb-1dfd-480d-98ac-08559d5dfdd4