Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2015-10-21
- Stop
- 2015-10-21
The parties
- Patient
- patient Paul Cody Olson
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1015e495-9ac0-3c9e-3480-f0edad0da579