Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2014-06-26
- Stop
- 2014-06-26
The parties
- Patient
- patient Su Keitha Borer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2aa3a0d1-3b22-078a-6172-757fae4f15e0