Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1999-08-19
- Stop
- 1999-08-19
The parties
- Patient
- patient Kina Huel
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
0f0ca241-3973-224f-3917-da1dfb187761