Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2022-08-06
- Stop
- 2022-08-06
The parties
- Patient
- patient Duncan Sanford Ratke
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
243a5936-ea31-a01d-b33f-9a0b5aa8038a