Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2025-11-10
- Stop
- 2025-11-10
The parties
- Patient
- patient Arlen Schamberger
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
01ee9e96-5701-e5d2-4077-3e46163f6b3a