Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-05-21
- Stop
- 2013-05-21
The parties
- Patient
- patient Eliz Gwendolyn Gulgowski
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
1d6daf34-91f6-0901-f267-2dc117b6073c