Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1999-09-14
- Stop
- 1999-09-14
The parties
- Patient
- patient Carmen Gia Robel
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
0b18fec5-d601-b59b-ea30-5864258d0d5d