Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-07-06
- Stop
- 2026-07-06
The parties
- Patient
- patient Suzann Iva Bartoletti
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Aetna
Record id
11353d0f-c8f7-dd32-5fa6-e3d05a003103