Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2007-01-10
- Stop
- 2007-01-10
The parties
- Patient
- patient Gaylene Adell Reynolds
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
34c15c13-e4f6-1b19-ae47-b64bbf1bbfe7