Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2010-01-30
- Stop
- 2010-01-30
The parties
- Patient
- patient Luigi Jakubowski
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
Record id
34909a24-77ed-f1db-7253-340ab80cdd8b