Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1984-03-26
- Stop
- 1984-03-26
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Kelvin Reichel
- Payer
- payer Humana
Record id
335171b1-99b5-a5ab-0d56-49a646facc43