Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2014-05-30
- Stop
- 2014-05-30
The parties
- Patient
- patient Ross Bill Bradtke
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Cigna Health
Record id
2a675be2-5a92-6634-cc25-6c0979ed1773