Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2009-03-28
- Stop
- 2009-03-28
The parties
- Patient
- patient Jeffry Homer Kuhlman
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
2b194a8c-d9fe-1f2d-5f2c-5b96df93ce73