Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2023-01-01
- Stop
- 2023-01-01
The parties
- Patient
- patient Charlott Yi Walter
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
1508a0e5-67d3-1dfd-a635-52f4736e2052