Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2003-03-05
- Stop
- 2003-03-05
The parties
- Patient
- patient Trevor Darrick Legros
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
216fad95-7533-5170-37dc-dae7c59eadcf