Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2017-10-03
- Stop
- 2017-10-03
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-bf49-5c5eabed63e6