Claim total
$12,193.88
base $127.17 · payer covered $8,535.72
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2000-06-30
- Stop
- 2000-06-30
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
062f00f9-5db0-55c4-8194-a2c05003d697