Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1998-12-14
- Stop
- 1998-12-14
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-4d9a-3caa9362a981