Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2025-12-01
- Stop
- 2025-12-01
The parties
- Patient
- patient Erika Noriko Auer
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
Record id
0e32386c-c04d-ce35-1d2d-1d399ff11737