Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1992-05-29
- Stop
- 1992-05-29
The parties
- Patient
- patient Orval Lesley Hilll
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
398caf93-d142-e99a-62c2-fb8eb697d52a