Claim total
$963.46
base $93.39 · payer covered $770.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-08-31
- Stop
- 2024-08-31
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-eb92-6eda36f6a9b5