Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2004-12-23
- Stop
- 2004-12-23
The parties
- Patient
- patient Carylon Sharlene Reilly
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
0f07fc79-9416-3271-eedc-045e5e80b540