Claim total
$93.39
base $93.39 · payer covered $73.68
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2008-12-13
- Stop
- 2008-12-13
The parties
- Patient
- patient Dane Randolph Lynch
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
1632b7b9-383c-c840-f3e0-f02f8928fe9e