Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2019-01-31
- Stop
- 2019-01-31
The parties
- Patient
- patient Rocio Norma Muñoz
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
0c6b4c76-1df9-a658-58bf-2aeaae789c8e