Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-05-30
- Stop
- 2010-05-30
The parties
- Patient
- patient Tim Dane Considine
- Provider
- provider Fred Monahan
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
3192ff7d-d059-e73e-516f-432b50466c51