Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1984-06-07
- Stop
- 1984-06-07
The parties
- Patient
- patient Kirk Jermaine Renner
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer No insurance
Record id
07d0ff26-12eb-835d-14ae-a91db2f700e3