Claim total
$7,123.20
base $127.17 · payer covered $4,261.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-08-01
- Stop
- 2019-08-01
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-f05d-2d326137c18d