Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2017-10-27
- Stop
- 2017-10-27
The parties
- Patient
- patient Maryjo Amal Goldner
- Provider
- provider Pasquale Grimes
- Payer
- payer No insurance
Record id
2ed77eab-3571-a72d-b1f7-2b831a77ef60