Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1980-08-27
- Stop
- 1980-08-27
The parties
- Patient
- patient Hans Marion Kuvalis
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
107d0674-dc76-cfa0-b29a-2ca5e6c31259