Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-01-17
- Stop
- 2013-01-17
The parties
- Patient
- patient Lynda Carissa Wiza
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
11b58047-9562-e585-c351-7f99f866179e