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
- 2026-06-05
- Stop
- 2026-06-05
The parties
- Patient
- patient Ned Connelly
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
1aa52c58-7283-34d6-936c-972d46dc4b8e