Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 1938-03-23
- Stop
- 1938-03-23
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-5bae-5f5edcf547a7