Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2023-03-07
- Stop
- 2023-03-07
The parties
- Patient
- patient Marion Angelo Bogisich
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
0b1b278b-2e00-e569-3c38-5768ebc33fbd