Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2006-02-26
- Stop
- 2006-02-26
The parties
- Patient
- patient Keith Marquis Ritchie
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
30a39716-1c18-1f3a-e92a-aa758ac3ae6c