Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2002-11-28
- Stop
- 2002-11-28
The parties
- Patient
- patient Karon Koelpin
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
223d4220-b8bd-0490-ae41-135c198c24a9