Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2025-01-07
- Stop
- 2025-01-07
The parties
- Patient
- patient Saul Little
- Provider
- provider Katrina Romaguera
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0205c336-938f-d85a-caa1-5633913988cb