Claim total
$12,299.02
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-03-22
- Stop
- 2017-03-22
The parties
- Patient
- patient Jolyn Braun
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
1fc4994f-8a32-2b7e-3d06-6aa2ef4435f7