Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2025-01-17
- Stop
- 2025-01-17
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
1b79641c-a011-48b3-4fb2-cc6aaf79f930