Claim total
$5,699.71
base $127.17 · payer covered $546.05
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-07-27
- Stop
- 2018-07-27
The parties
- Patient
- patient Sol Mack Heller
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Aetna
Record id
1e0b9326-13d3-5972-a8b5-7906186c67e7