Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2002-04-19
- Stop
- 2002-04-19
The parties
- Patient
- patient Danae Ofelia Walsh
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
3764723b-d871-6d97-8e57-5bff42d4589b