Claim total
$5,586.33
base $127.17 · payer covered $5,536.33
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-10-26
- Stop
- 2023-10-26
The parties
- Patient
- patient Queen Sharika Fay
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
02c148c0-182c-a5fd-11ba-3cb7e6c94f89