Claim total
$791.59
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1995-04-28
- Stop
- 1995-04-28
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
062f00f9-5db0-55c4-8a38-bcdbb4f90865