Claim total
$10,470.83
base $93.39 · payer covered $5,044.56
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Human immunodeficiency virus infection86406008
- Start
- 2008-02-04
- Stop
- 2008-02-04
The parties
- Patient
- patient Ike Branden Moore
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
2d876bca-be8f-2e05-e258-9c3524dadd24