Claim total
$1,069.96
base $127.17 · payer covered $1,069.96
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2008-04-03
- Stop
- 2008-04-03
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
03563bad-3832-f030-07a0-c87d1437b50b