Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 1979-10-08
- Stop
- 1979-10-08
The parties
- Patient
- patient Dwayne Wolf
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
0eeaff7f-d9c2-1c92-5a1d-419cbf241f9c