Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1989-11-29
- Stop
- 1989-11-29
The parties
- Patient
- patient Mauro Long Emmerich
- Provider
- provider Harold Hagenes
- Payer
- payer Medicare
Record id
23076cc7-987a-7400-ae70-eb2dea175feb