Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2015-06-30
- Stop
- 2015-06-30
The parties
- Patient
- patient Oren Scott Cartwright
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
1122b556-35c1-c7a0-98f2-ae359d5aeafd