Claim total
$75.00
base $75.00 · payer covered $40.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2023-12-24
- Stop
- 2023-12-24
The parties
- Provider
- provider Marcus Douglas
- Payer
- payer Dual Eligible
Record id
0e6822a3-5e9a-9e56-b597-d126fe3fc450