Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2016-05-11
- Stop
- 2016-05-11
The parties
- Patient
- patient Boyce Jerrold Johns
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
18cbb615-420a-8641-e2b7-af50dd3e677a