Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2006-05-02
- Stop
- 2006-05-02
The parties
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
23088664-4c85-2fc4-58bf-4d0dfdb22f9c