Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1993-04-30
- Stop
- 1993-04-30
The parties
- Patient
- patient Harold Grant
- Provider
- provider Lovie Turcotte
- Payer
- payer No insurance
Record id
14e15864-fa5b-18f5-4c00-515d0e6d59c1