Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2026-03-15
- Stop
- 2026-03-15
The parties
- Patient
- patient Noel Hodkiewicz
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
104902ff-0783-21f8-6410-e2493e7f3c35