Claim total
$1,471.74
base $127.17 · payer covered $1,030.23
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1995-06-09
- Stop
- 1995-06-09
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
062f00f9-5db0-55c4-ac38-94235e86d30d