Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2013-06-26
- Stop
- 2013-06-26
The parties
- Patient
- patient Adalberto Earle Berge
- Provider
- provider Antonetta Lubowitz
- Payer
- payer No insurance
Record id
2a29ee86-7b2f-4e27-da21-63388edd5d07