Claim total
$75.00
base $75.00 · payer covered $60.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2021-12-17
- Stop
- 2021-12-17
The parties
- Patient
- patient Dina Lolita Schaefer
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
13377e52-60c9-b8ee-782d-b4ba05fd013e