Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2014-04-14
- Stop
- 2014-04-14
The parties
- Patient
- patient Julio Hayden Haag
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
36f895c5-cf8f-4086-dd07-270825fc1d5a