Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2016-10-08
- Stop
- 2016-10-08
The parties
- Patient
- patient Sol Mack Heller
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Aetna
Record id
1e0b9326-13d3-5972-4d58-3baf1278d81b