Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2026-08-15
- Stop
- 2026-08-15
The parties
- Patient
- patient Ardell Balistreri
- Provider
- provider Adrienne Hills
Record id
225082dc-9ef3-4a84-00ee-a74205aa3f84