Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-08-25
- Stop
- 2025-08-25
The parties
- Patient
- patient Buster Aldo Carter
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicare
Record id
1659d978-c34c-f99b-17eb-36854bb9bd43