Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1993-06-01
- Stop
- 1993-06-01
The parties
- Patient
- patient Wilfred Dylan Stracke
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
12af9e1b-7bdb-0614-a46a-ddc3cec1f7f3