Claim total
$8,018.81
base $127.17 · payer covered $7,983.81
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-11-10
- Stop
- 2022-11-10
The parties
- Patient
- patient Thaddeus Devin Rowe
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Dual Eligible
Record id
34699965-0b0d-9c62-6f76-ddc0ba343a30