Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-08-11
- Stop
- 2020-08-11
The parties
- Patient
- patient Delinda Patrica Turner
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
073748e8-f10b-2b62-9acf-33804cda37ae