Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2012-12-20
- Stop
- 2012-12-20
The parties
- Patient
- patient Elisabeth Gleason
- Provider
- provider Adrienne Hills
Record id
2687fd40-e7a6-0ada-e17d-0d61556da999