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
- 2020-03-05
- Stop
- 2020-03-05
The parties
- Patient
- patient Meggan King
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Aetna
Record id
14b5cf93-5fb6-3fb9-7a2c-7c8bd1dcf7e4