Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2005-09-27
- Stop
- 2005-09-27
The parties
- Patient
- patient Abraham Mante
- Provider
- provider Jo Stiedemann
- Payer
- payer Humana
Record id
1abdafbd-dcc9-f667-01e7-535ce771346e