Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1993-04-30
- Stop
- 1993-04-30
The parties
- Patient
- patient Laverne Stanley Osinski
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicaid
Record id
1b725f0a-4f9d-132d-2b40-e5a22e21d7a5