Claim total
$5,243.51
base $127.17 · payer covered $114.31
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-10-26
- Stop
- 2025-10-26
The parties
- Patient
- patient Lena Charlott Williamson
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Aetna
Record id
322ab5c6-5846-ac1e-0d52-a32578860e01