Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-03-31
- Stop
- 2011-03-31
The parties
- Patient
- patient Ozzie Pasquale Bogisich
- Provider
- provider Burton O'Conner
Record id
099c86d1-c37a-eaca-ac97-583bf748fc5c