Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1998-10-19
- Stop
- 1998-10-19
The parties
- Patient
- patient Candyce Isabel Gutkowski
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
32da48b4-09cc-d935-78e5-8ce7a5b94a88