Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2007-04-04
- Stop
- 2007-04-04
The parties
- Patient
- patient Abbie Kulas
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
377e9575-a2e9-6ea3-4831-9273e6a9fbad