Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2023-08-04
- Stop
- 2023-08-04
The parties
- Patient
- patient Andres Vern Beahan
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
21774d2d-8235-6af1-79de-1845ff80e897