Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1989-06-24
- Stop
- 1989-06-24
The parties
- Patient
- patient Sherlyn Cole
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1e9fb832-95b3-4a58-23fa-86b7d9ab5a88