Claim total
$13,339.10
base $127.17 · payer covered $13,289.10
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-01-03
- Stop
- 2019-01-03
The parties
- Patient
- patient Travis Reichert
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicaid
Record id
0c81d398-2cb2-843e-31b1-f3aeaad13c32