Claim total
$9,736.18
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Human immunodeficiency virus infection86406008
- Start
- 1994-02-12
- Stop
- 1994-02-13
The parties
- Patient
- patient Rudy Fausto Prohaska
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
25c375cb-0200-f47a-e38a-bc8c6e390ccd