Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2021-06-19
- Stop
- 2021-06-19
The parties
- Patient
- patient Roman Sam Kuhic
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
13ad3f28-2867-7f2e-aad1-4993c3a9b1f4