Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2012-06-09
- Stop
- 2012-06-09
The parties
- Patient
- patient Cara Twana Rohan
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
36e78c82-a2fb-ce3c-f7ae-1a4a4a3f81e3