Claim total
$4,992.38
base $127.17 · payer covered $4,942.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-07-14
- Stop
- 2024-07-14
The parties
- Patient
- patient Ned Connelly
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
1aa52c58-7283-34d6-e22a-d652c4b315bc