Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-02-16
- Stop
- 2011-02-16
The parties
- Patient
- patient Lennie Dannette Jerde
- Provider
- provider Burton O'Conner
- Payer
- payer Medicare
Record id
14e0014e-0650-d844-3be6-1f1f0542df5f