Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2005-07-02
- Stop
- 2005-07-02
The parties
- Patient
- patient Rudy Fausto Prohaska
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
25c375cb-0200-f47a-a427-4ffb264ae72f