Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-09-18
- Stop
- 2013-09-18
The parties
- Patient
- patient Luisa Genna Jenkins
- Provider
- provider Ross Stehr
- Payer
- payer Cigna Health
Record id
243e9beb-0e9e-edb5-9443-733228687335