Claim total
$15,361.54
base $127.17 · payer covered $12,289.24
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-09-11
- Stop
- 2020-09-11
The parties
- Patient
- patient Rea Wilderman
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Anthem
Record id
06d9b168-6ea1-82f4-f3ea-e9a9b824a8c8