Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-06-09
- Stop
- 2013-06-09
The parties
- Patient
- patient Zita Sharita Baumbach
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
15e93d16-025d-6783-ace7-d0f3020930d3