Claim total
$11,382.82
base $93.39 · payer covered $8,919.82
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Human immunodeficiency virus infection86406008
- Start
- 2024-02-21
- Stop
- 2024-02-21
The parties
- Patient
- patient Ardith Anette Langosh
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
19d11b13-231e-035e-e46d-80eb86e10609