Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1988-04-22
- Stop
- 1988-04-22
The parties
- Patient
- patient Akilah Ebert
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1ef9913f-d7aa-d611-2f1f-c2aa9c6a10ae