Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2025-06-15
- Stop
- 2025-06-15
The parties
- Patient
- patient Santiago Víctor Cavazos
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
157c2e9c-d23e-1a11-3d28-27c773f63dbb