Claim total
$10,470.83
base $93.39 · payer covered $10,420.83
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Human immunodeficiency virus infection86406008
- Start
- 2003-01-16
- Stop
- 2003-01-17
The parties
- Patient
- patient Micheal Tyron Muller
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
0c09670c-77c6-9a0a-d4b0-486a4ec8b5ba