Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2018-05-03
- Stop
- 2018-05-03
The parties
- Patient
- patient Monnie Sommer Beahan
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
1f8863db-3975-ba16-a5e5-9bc48c918c76