Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1997-07-24
- Stop
- 1997-07-24
The parties
- Patient
- patient Terrell Allan Walter
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0c1ee120-1dc7-6b68-6379-b4ed8e9d15b5