Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-04-24
- Stop
- 2019-04-24
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-ae76-e244003c2a72