Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-04-10
- Stop
- 2021-04-10
The parties
- Patient
- patient Ozzie Pasquale Bogisich
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
099c86d1-c37a-eaca-a1fa-ccb8505aa30c