Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2012-03-02
- Stop
- 2012-03-02
The parties
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Humana
Record id
1179f018-5c86-1d0c-0aa6-b8f83b273bcf