Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2018-05-08
- Stop
- 2018-05-08
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicare
Record id
0274bb53-c777-eb96-3b2a-86c844189e0e