Claim total
$538.47
base $127.17 · payer covered $488.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2017-12-02
- Stop
- 2017-12-02
The parties
- Patient
- patient Erwin Fredric Gibson
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
259579f5-e088-c375-96cd-311f353fd879