Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-06-12
- Stop
- 2013-06-12
The parties
- Patient
- patient Arnold Guillermo Parker
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
27f92d06-19f5-0088-ba40-125b48d6acb1