Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2025-12-17
- Stop
- 2025-12-18
The parties
- Patient
- patient Rodolfo Cesar Cartwright
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
1c95d9b2-6189-e9d5-865c-78b9e407f804