Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2020-08-25
- Stop
- 2020-08-25
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Irmgard Padberg
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-b507-77fe86ba7160