Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1971-06-23
- Stop
- 1971-06-23
The parties
- Patient
- patient Trena Melia Rempel
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
08f81ff0-ea1a-59df-5b2d-cbc465afbdf6