Claim total
$13,530.38
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1954-02-27
- Stop
- 1954-02-27
The parties
- Patient
- patient Elbert Jamar Grant
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer No insurance
Record id
1f492d1b-46b8-92c2-5702-92cbd0df2a42