Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-06-05
- Stop
- 2011-06-05
The parties
- Patient
- patient Blake Carol Macejkovic
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1c6a1b68-54fa-90b5-ed4b-7a63c81912c9