Claim total
$4,233.67
base $127.17 · payer covered $4,183.67
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-09-14
- Stop
- 2023-09-14
The parties
- Patient
- patient Carlotta Arthur Bradtke
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
326580b5-448f-6772-f7b9-7a506a3e12c8