Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2014-12-11
- Stop
- 2014-12-11
The parties
- Provider
- provider Liz Kozey
- Payer
- payer Dual Eligible
Record id
389a6c0d-c9f5-2cd8-ea6b-111a175bb17a