Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 390906007
- Reason
- diagnosis concept Hyperlipidemia55822004
- Start
- 2023-09-09
- Stop
- 2023-09-09
The parties
- Patient
- patient Sammie Tristan Metz
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
32e78bc3-8506-a26a-4968-5486fd830461