Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-10-07
- Stop
- 2017-10-07
The parties
- Patient
- patient Markus Jessie Raynor
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
1e568894-7298-c9fd-b9e9-787fc3c7dbdd