Claim total
$1,458.04
base $127.17 · payer covered $1,408.04
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-08-05
- Stop
- 2020-08-05
The parties
- Patient
- patient Queen Sharika Fay
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
02c148c0-182c-a5fd-96be-615a0f2b8df9