Claim total
$2,034.89
base $155.66 · payer covered $1,999.89
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2023-03-10
- Stop
- 2023-03-10
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-a86d-a3e09f110bb1