Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-10-06
- Stop
- 2023-10-06
The parties
- Patient
- patient Sona Valerie Bogan
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
2306bff0-2b59-d00f-ce5d-56d3fafb5188