Emergency room admission

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patient Kendall Willy Weber
Emergency room admission

Claim total

$1,361.07

base $127.17 · payer covered $1,087.12

The visit

Class: Emergency
Code: 50849002
Reason: diagnosis concept Traumatic dislocation of temporomandibular joint81629009
Start: 2024-02-13
Stop: 2024-02-13

The parties

Patient: patient Kendall Willy Weber
Provider: provider Jeremy Veum
Care site: care site THE VILLA AT BRYN MAWR
Payer: payer Medicare

Record id 1631829b-d286-3250-d467-5802a8af44c2