Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2000-01-02
- Stop
- 2000-01-02
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Andria Spinka
- Payer
- payer No insurance
Record id
2d78cd30-6b9a-db6f-80a2-1a72c7c263aa