Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-12-22
- Stop
- 2020-12-22
The parties
- Patient
- patient Long Lee Koelpin
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicare
Record id
3262d190-0790-ed5d-c61e-ca1d2393d6f2