Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1993-04-20
- Stop
- 1993-04-20
The parties
- Patient
- patient Courtney Mike Bechtelar
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2b8b8833-7186-2e1e-0220-93e51a49ca5d