Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1980-11-05
- Stop
- 1980-11-05
The parties
- Patient
- patient Tyrell Johnston
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
18d8b7b9-921a-ef97-048e-b6a2f5cc80ce