Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1990-09-01
- Stop
- 1990-09-01
The parties
- Patient
- patient Maynard Omer Metz
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
340f3309-d5f5-88b6-77e1-d8029ab66536