Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2024-05-06
- Stop
- 2024-05-06
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-0e47-6287825b6205