Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2003-10-26
- Stop
- 2003-10-26
The parties
- Patient
- patient Josef Earle Cronin
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
26c58ea5-e054-be2d-b597-fb6337b231d4