Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-10-13
- Stop
- 2020-10-13
The parties
- Patient
- patient Marti Yuri Russel
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
2e3e4930-1ed6-b8a3-2f87-04c27c8d5029