Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2005-02-15
- Stop
- 2005-02-15
The parties
- Patient
- patient Marlena McKenzie
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
088a3bac-a63f-7d95-c83b-fecdda0c96ea