Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1990-02-08
- Stop
- 1990-02-08
The parties
- Patient
- patient Sumiko Bethann Baumbach
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
23c570a1-24f2-7527-3fc2-4c3a62ebe8c2