Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-04-14
- Stop
- 2017-04-14
The parties
- Patient
- patient Roy Alfonzo Huel
- Provider
- provider Nanette Haley
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0b35d6cf-7bf9-dc99-a45f-8e84e2e824e4