Claim total
$10,470.83
base $93.39 · payer covered $10,320.83
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Human immunodeficiency virus infection86406008
- Start
- 2008-08-15
- Stop
- 2008-08-15
The parties
- Patient
- patient Chi Frederic Corwin
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1b01d5b1-f332-7aa1-4eee-8803915dfab3