Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-03-07
- Stop
- 2010-03-07
The parties
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0ed67a32-bd3f-abe0-c788-6fac9fb6b4f3