Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2019-11-24
- Stop
- 2019-11-24
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-2d51-c746300b0c91