Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2021-02-16
- Stop
- 2021-02-16
The parties
- Patient
- patient Ivelisse Merilyn Crooks
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
345dbe92-1973-b56f-9c55-0f755e70c4d2