Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-03-23
- Stop
- 2024-03-23
The parties
- Patient
- patient Dan Barton Brown
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicaid
Record id
383ddc6b-4540-35e6-9a5a-e30447c8dd13