Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2019-11-06
- Stop
- 2019-11-06
The parties
- Patient
- patient Arminda Casandra Willms
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0df65c82-ce35-829a-1398-ec661aa73199