Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2007-07-13
- Stop
- 2007-07-13
The parties
- Patient
- patient Imelda Tamar Moen
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2c08bece-c801-e6f0-0d07-ff8d34efcab0