Claim total
$127.17
base $127.17 · payer covered $24.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-02-08
- Stop
- 2024-02-08
The parties
- Patient
- patient Giselle Lili Kuhn
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
298fb510-f24e-dc58-9db0-0389716b2549