Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-11-28
- Stop
- 2011-11-28
The parties
- Patient
- patient Kelvin Johnny Hirthe
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
292b5aae-02fc-4e2f-da31-4ea2444e2a61