Claim total
$772.40
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1986-05-30
- Stop
- 1986-05-30
The parties
- Patient
- patient Sheldon Milan Koch
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
28fc4489-6f3e-4157-9583-d15208bf0ee9