Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1974-05-19
- Stop
- 1974-05-19
The parties
- Patient
- patient Samuel Tomi Luettgen
- Provider
- provider Burton O'Conner
Record id
2c68c985-bcbe-7914-0927-462b092a8a7c