Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2018-08-19
- Stop
- 2018-08-20
The parties
- Patient
- patient Alvera Delsie Toy
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
1d1add62-9864-23be-04d8-e52407a56cad