Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1996-01-25
- Stop
- 1996-01-25
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
1d345bd8-58e2-79a2-6c70-54b6dd69017d