Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2008-04-06
- Stop
- 2008-04-06
The parties
- Patient
- patient Verlene Pamula Daniel
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
3123ff91-9b13-6c6f-3be3-3f4c28adc876