Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1960-09-22
- Stop
- 1960-09-22
The parties
- Patient
- patient Princess Felisha Kub
- Provider
- provider Donette Hilpert
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2918896c-6cc7-6a93-4e19-9dd3f529f455