Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2019-03-28
- Stop
- 2019-03-28
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Floyd Toy
- Payer
- payer Aetna
Record id
03f9d33d-12ca-f1a8-3665-4629e13852c6