Claim total
$642.10
base $93.39 · payer covered $513.67
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-09-27
- Stop
- 2019-09-27
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-fee6-33360dc8b4fd