Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-09-05
- Stop
- 2019-09-05
The parties
- Patient
- patient Dee Schowalter
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer UnitedHealthcare
Record id
38793bd6-9217-56cf-fb28-4ddb0aa619a4