Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2023-04-07
- Stop
- 2023-04-07
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
003012ce-f819-e17b-0db1-1a138c054a8f