Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1995-06-15
- Stop
- 1995-06-15
The parties
- Patient
- patient Norris Jimmy Kuhn
- Provider
- provider Adrienne Hills
- Payer
- payer No insurance
Record id
2d90965f-f4f7-8f82-7621-04025c69f52f