Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-02-21
- Stop
- 2026-02-21
The parties
- Patient
- patient Yolonda Aretha Strosin
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicare
Record id
30f87563-5420-b643-147e-f7fa8359a80a