Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1989-12-09
- Stop
- 1989-12-09
The parties
- Patient
- patient Cyndy Thora Hackett
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
3a6342ed-106b-b99c-3c7b-0e28e30523d2