Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1998-08-25
- Stop
- 1998-08-25
The parties
- Patient
- patient Melinda Ines Koelpin
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26d1b146-99fe-e0df-c970-db27b4f4f1ab