Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-05-11
- Stop
- 2017-05-11
The parties
- Patient
- patient Coleen Hester Boyle
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
1fee85c9-7061-f223-a3db-7484a1c9b88d