Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1995-11-11
- Stop
- 1995-11-11
The parties
- Patient
- patient Jonathon Elroy Borer
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
13917145-8746-415a-ba32-6cf2404dc32c