Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2023-03-20
- Stop
- 2023-03-20
The parties
- Patient
- patient Cesar Jay MacGyver
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
3b811cbd-0050-5937-30e9-433aa7761752