Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1970-10-28
- Stop
- 1970-10-28
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
226e0527-4c40-2548-06ff-1f9fc11e3fd0