Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-12-13
- Stop
- 2011-12-13
The parties
- Patient
- patient Dione Ernser
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0bf6e6c4-0773-250a-6bd1-6e2ccb2206f2