Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1997-02-24
- Stop
- 1997-02-24
The parties
- Patient
- patient Geralyn Berniece Kirlin
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
18ec76c4-019a-43be-205c-bcef7d37348c