Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2000-10-12
- Stop
- 2000-10-12
The parties
- Patient
- patient Darby Ledner
- Provider
- provider Burton O'Conner
Record id
1bbcfc3b-d045-f651-dcff-a81fea4331af