Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-10-11
- Stop
- 2020-10-11
The parties
- Patient
- patient Kristin Hortensia Zulauf
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer UnitedHealthcare
Record id
0b7b85ac-350f-06ec-9115-d2f7cb535608