Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2008-04-05
- Stop
- 2008-04-05
The parties
- Patient
- patient Matt Nitzsche
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
11bc85b9-5a20-dc01-532c-a52344ffab02