Claim total
$94.39
base $93.39 · payer covered $75.51
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-10-15
- Stop
- 2016-10-15
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-274c-ae2ebf98b4f7