Claim total
$8,879.32
base $127.17 · payer covered $7,103.46
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-12-08
- Stop
- 2023-12-08
The parties
- Patient
- patient Rea Wilderman
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicare
Record id
06d9b168-6ea1-82f4-3c3b-a2e0deeabc5f