Claim total
$6,899.03
base $127.17 · payer covered $5,459.67
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-01-19
- Stop
- 2017-01-19
The parties
- Patient
- patient Ewa O'Keefe
- Provider
- provider Ricardo Bartoletti
- Care site
- care site MARTIN LUTHER CARE CENTER
- Payer
- payer Medicare
Record id
39c86adc-532d-71c6-9de9-60ab640cf3c7