Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2007-03-30
- Stop
- 2007-03-30
The parties
- Patient
- patient Asa Frederic Terry
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
Record id
0cd4c735-0aa4-b0ae-fc44-3d4c99cd1509