Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2015-01-31
- Stop
- 2015-01-31
The parties
- Patient
- patient Venice O'Reilly
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0e2939c5-5704-820f-87ee-71ac7c6a7374