Claim total
$6,898.76
base $127.17 · payer covered $6,898.76
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-12-02
- Stop
- 2017-12-02
The parties
- Patient
- patient Kieth Ron Mertz
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Aetna
Record id
0f52457a-32da-8b47-9624-1a581452267f