Claim total
$4,854.63
base $127.17 · payer covered $3,533.83
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-04-28
- Stop
- 2025-04-28
The parties
- Patient
- patient Casey Nigel Ward
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer UnitedHealthcare
Record id
0c36e2d3-a6c1-bb96-153b-0d2b1ba9e624