Claim total
$16,569.23
base $127.17 · payer covered $16,534.23
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-07-06
- Stop
- 2026-07-06
The parties
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-ec21-cdd9d6a03f19