Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2006-10-15
- Stop
- 2006-10-15
The parties
- Patient
- patient Joanne Carly Casper
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
13782635-8a63-14aa-2c9f-a57c7e78429c