Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2022-07-21
- Stop
- 2022-07-21
The parties
- Patient
- patient Leigh Julie Koepp
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
06508914-eda7-9758-4b40-e932ed9c151b