Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1991-06-29
- Stop
- 1991-06-29
The parties
- Patient
- patient Crista Kristin Stehr
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
1ebf266f-db79-48d9-e19c-82743662e204