Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-12-23
- Stop
- 2017-12-23
The parties
- Patient
- patient Deann Shawnee Hilll
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
290b32a5-c822-1cc3-c62b-26d24fcd007c