Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2006-02-21
- Stop
- 2006-02-21
The parties
- Patient
- patient Roy Billie Ankunding
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2cc69e6e-eaec-c9c0-858e-c8fcb84ad3c5