Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2020-06-26
- Stop
- 2020-06-26
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-d31e-27b9abc34630