Claim total
$6,862.13
base $127.17 · payer covered $1,787.18
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-12-11
- Stop
- 2020-12-11
The parties
- Patient
- patient Darrick Tony Hickle
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
Record id
2569f81e-c2ce-d7e1-d877-97ecb7b5d020