Claim total
$538.47
base $127.17 · payer covered $388.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2018-05-30
- Stop
- 2018-05-30
The parties
- Patient
- patient Ryann Angelique Kilback
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
15815cb5-e62a-564b-cc5b-bd41bbfb98dd