Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2006-12-03
- Stop
- 2006-12-03
The parties
- Patient
- patient Grover Dario Welch
- Provider
- provider Lovie Turcotte
- Payer
- payer Humana
Record id
274aa74a-1b08-ee17-052d-fb38cb4b111a