Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-01-04
- Stop
- 2017-01-04
The parties
- Patient
- patient Cherelle Morar
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Aetna
Record id
33009975-b2c5-da4c-3fef-ad573685b31c