Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2020-07-29
- Stop
- 2020-07-29
The parties
- Patient
- patient Barney MacGyver
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
30e13405-ccca-a4d8-35c0-3846be9f074c