Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2016-05-16
- Stop
- 2016-05-16
The parties
- Patient
- patient Earle Kenneth Kilback
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
237ec528-3e88-a814-7940-d61aa8587c54