Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2022-04-17
- Stop
- 2022-04-17
The parties
- Patient
- patient Lester O'Reilly
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
11ed8eb9-a93b-fa56-f82c-172ded6fd3c7