Claim total
$127.17
base $127.17 · payer covered $76.30
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2020-10-18
- Stop
- 2020-10-18
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-c549-8f3db6b42378