Claim total
$97.50
base $93.39 · payer covered $78.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-06-15
- Stop
- 2024-06-15
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-6785-b323851f030e