Claim total
$3,883.80
base $155.66 · payer covered $1,940.64
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2020-02-20
- Stop
- 2020-02-20
The parties
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-89d3-489010cd9498