Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-01-02
- Stop
- 2017-01-02
The parties
- Patient
- patient José Luis Esteban Palomo
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
2c5a4ef2-0007-8652-450e-0318a9254e70