Claim total
$75.00
base $75.00 · payer covered $40.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2026-09-02
- Stop
- 2026-09-02
The parties
- Provider
- provider Adrienne Hills
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-bf19-c42993bdb0f8