Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1996-07-19
- Stop
- 1996-07-19
The parties
- Patient
- patient Will Kris
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
0b248530-a284-d3a0-ccc5-9cb723f268a0