Claim total
$16,376.67
base $127.17 · payer covered $7,617.44
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Seizure disorder128613002
- Start
- 1980-07-31
- Stop
- 1980-07-31
The parties
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Humana
Record id
018a1080-c6e3-9b93-e62f-06eab5c24117