Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2003-07-25
- Stop
- 2003-07-25
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Hazel Effertz
- Payer
- payer No insurance
Record id
023d14fa-8b29-07fb-ef4a-977188c834dd