Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1991-06-06
- Stop
- 1991-06-06
The parties
- Patient
- patient Lon Jenkins
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
21be898a-3bf9-dfe6-4b15-472ea3d997e5