Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 183478001
- Reason
- diagnosis concept Asthma195967001
- Start
- 2020-11-12
- Stop
- 2020-11-12
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-b801-083d4f40fa4f