Claim total
$75.00
base $75.00 · payer covered $60.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2026-06-14
- Stop
- 2026-06-14
The parties
- Provider
- provider Bethanie Wintheiser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0743cfb3-f6a5-0a94-1190-e82e882cc9d8