Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2020-10-24
- Stop
- 2020-10-24
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-198b-6266f777b956