Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2009-03-11
- Stop
- 2009-03-11
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-54d6-26e35dfb2246