Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2024-08-03
- Stop
- 2024-08-03
The parties
- Patient
- patient Keith Blake Smith
- Provider
- provider Ross Stehr
- Payer
- payer Medicare
Record id
1287b12a-d9e6-c5db-f16a-aab1becf7691