Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1999-09-25
- Stop
- 1999-09-25
The parties
- Patient
- patient Errol Delmar Lockman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
09a2ab02-bbcf-9b47-b20d-e7c2cfbe22ec