Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2024-08-10
- Stop
- 2024-08-10
The parties
- Patient
- patient Douglas Mose Kertzmann
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
2a999821-d76f-cf16-04c7-1c6f3eda590e