Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-09-28
- Stop
- 2010-09-28
The parties
- Patient
- patient Barney Kraig Jast
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
220ee7db-972d-3106-8154-d7079b2966a2