Claim total
$7,233.93
base $127.17 · payer covered $7,183.93
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-11-20
- Stop
- 2019-11-20
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
043d6e13-0cc7-07f3-ba4f-41245c87d88a