Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2020-07-15
- Stop
- 2020-07-15
The parties
- Patient
- patient Joe Abe Koch
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
20ddca7d-6cee-85eb-318a-f86e72438bed