Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1972-05-17
- Stop
- 1972-05-17
The parties
- Patient
- patient Nicholas Glenn Beatty
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
340ca81c-47ed-6eb0-30df-0b3ec455452c