Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-01-23
- Stop
- 2010-01-23
The parties
- Patient
- patient Rick Miles Lockman
- Provider
- provider Harold Hagenes
- Payer
- payer Medicare
Record id
2f111109-230b-28cb-88ef-aa59a36bbc07