Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2020-10-13
- Stop
- 2020-10-13
The parties
- Patient
- patient Rafael Marcos Jaramillo
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
23c6ce6e-bfd3-c3e8-bb62-226233fba442