Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2015-09-23
- Stop
- 2015-09-23
The parties
- Patient
- patient Ivonne Senger
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
227fef4b-368a-4c5e-f61d-9c6e4a6ad02b