Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2022-08-22
- Stop
- 2022-08-22
The parties
- Patient
- patient Emelda Buckridge
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0d3f842e-991a-78cb-f3d6-842610f1ff0d