Claim total
$127.17
base $127.17 · payer covered $24.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-04-11
- Stop
- 2026-04-11
The parties
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
04dc5210-87cc-ee45-75eb-3fad70ba157a