Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1988-12-01
- Stop
- 1988-12-01
The parties
- Patient
- patient Aurelia Maude Goldner
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1ce15169-0046-e0e5-5ff2-55427476c799