Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2009-07-22
- Stop
- 2009-07-22
The parties
- Patient
- patient Kiana Howe
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
30d878c5-b0cb-d2f7-577c-cb38c05b81f8