Claim total
$5,135.21
base $127.17 · payer covered $5,085.21
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-08-04
- Stop
- 2026-08-04
The parties
- Patient
- patient Verdie Sawayn
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
0f440d76-42c8-e431-e7eb-4006321cd50e