Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2011-04-11
- Stop
- 2011-04-11
The parties
- Patient
- patient Wanda Sharee Treutel
- Provider
- provider Antonetta Lubowitz
Record id
07596fa0-6882-bc3c-5fa4-482cbbfbd550