Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183478001
- Reason
- diagnosis concept Asthma195967001
- Start
- 2017-03-27
- Stop
- 2017-03-27
The parties
- Patient
- patient Augustus Rich Stark
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Humana
Record id
0239a00d-0894-874c-99de-906a64007826