Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-12-07
- Stop
- 2010-12-07
The parties
- Patient
- patient Elton Pierre Cummerata
- Provider
- provider Kim Lind
- Payer
- payer Dual Eligible
Record id
10e19c97-2fb2-0e88-9738-6fda023951f1