Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2023-04-01
- Stop
- 2023-04-01
The parties
- Provider
- provider Hassie Beer
- Payer
- payer Dual Eligible
Record id
2d46927f-3540-85ed-efe7-2d42745dd3a9