Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2005-06-19
- Stop
- 2005-06-19
The parties
- Patient
- patient Ione Yahaira Glover
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
21ffffe4-f03e-a436-2f64-12bdd0b7a976