Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1982-10-12
- Stop
- 1982-10-12
The parties
- Patient
- patient Jamal Barry Funk
- Provider
- provider Janice Huel
- Payer
- payer No insurance
Record id
19b3aec3-eaf6-e809-1dc6-3d7bc246bda1