Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2024-07-24
- Stop
- 2024-07-24
The parties
- Patient
- patient Luisa Adriana Candelaria
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
30a17686-cce3-be65-1eb4-284ea048d9a7