Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-11-18
- Stop
- 2019-11-18
The parties
- Patient
- patient Leonardo Wilfredo Adams
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Cigna Health
Record id
1e77024e-3abf-c593-6342-4fde097915d0