Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2026-07-31
- Stop
- 2026-07-31
The parties
- Patient
- patient Kyla Ivory Mante
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2c91feaf-a1cd-fb10-43cc-455ff453b163