Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 1983-02-11
- Stop
- 1983-02-11
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-d63e-3506ce9a19e9