Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2022-09-02
- Stop
- 2022-09-02
The parties
- Patient
- patient Freddy Stewart Gorczany
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
22e9c711-e56d-c784-04c0-a55ced80fbeb