Billing Version 0.0089897

Charge Audit Summary

Search Results
2 records shown
Company
Patient ID
Patient
Date of
Service
Posting
Date
Charge
Amount
Units
Charges
Visits
Location
User Type
User
ZZX 004645 Miller, James 02/02/2019 02/03/2019 $10.00 1 1 1 Aetna Medicare Admin Kelly
CPT Code
Units
Mod
1
Mod
2
Charge
Amount
Billing
Provider
Treating
Provider
Location
Primary
Insurance
Secondary
Insurance
Tertiary
Insurance
Dx1
Dx2
Dx3
Dx4
Status
97001 1 RT GY $122.00 Marcus Welby, MD Marcus Welby, MD Centex Corporation Aetna Medicare Blue Cross           Active
97004 1 RT GY $122.00 Marcus Welby, MD Marcus Welby, MD Centex Corporation Aetna Medicare Blue Cross           Active
97009 1 RT GY $122.00 Marcus Welby, MD Marcus Welby, MD Centex Corporation Aetna Medicare Blue Cross           Active
ZXV 004645 Miller, James 02/02/2019 02/03/2019 $10.00 1 1 1 Aetna Medicare Admin Kelly
ZCV 004645 Miller, James 02/02/2019 02/03/2019 $10.00 1 1 1 Aetna Medicare Admin Kelly
Total $30.00 3 3 3