Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-04-09
- Stop
- 2021-04-09
The parties
- Patient
- patient Keva Tammara Konopelski
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Humana
Record id
101dba9b-ff8c-9dd6-3c41-a7c7117a8fbc