Claim total
$75.00
base $75.00 · payer covered $52.50
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2020-10-28
- Stop
- 2020-10-28
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-44bb-05d012d28d5b