Claim total
$9,109.45
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1987-07-02
- Stop
- 1987-07-02
The parties
- Patient
- patient Kirk Jermaine Renner
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer No insurance
Record id
07d0ff26-12eb-835d-25a7-ace6d4c1d54d