Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 1964-09-18
- Stop
- 1964-09-18
The parties
- Patient
- patient Sherman Eli Wehner
- Provider
- provider Kelvin Reichel
- Payer
- payer No insurance
Record id
3afc00a4-39f9-07a4-d0a8-0c2dd09c30c6