Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2024-12-31
- Stop
- 2024-12-31
The parties
- Patient
- patient Corey Sherwood Larkin
- Provider
- provider Marcus Douglas
- Payer
- payer Aetna
Record id
23c57423-286f-e157-8377-837e685aaf17