Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-06-20
- Stop
- 2020-06-20
The parties
- Patient
- patient Larita Candi Bashirian
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Cigna Health
Record id
1a69b1c3-11f2-231e-00fe-9782c16950be