Claim total
$3,935.75
base $127.17 · payer covered $3,935.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-05-30
- Stop
- 2025-05-30
The parties
- Patient
- patient Mauro Isaias Braun
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
2d68ad16-268a-478c-0f28-28b2c90aa4c3