Claim total
$2,039.36
base $127.17 · payer covered $1,989.36
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-13
- Stop
- 2021-04-13
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-b767-091520d97075