Claim total
$15,361.54
base $127.17 · payer covered $15,311.54
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-12-30
- Stop
- 2021-12-30
The parties
- Patient
- patient Kristin Latrice Keebler
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
2ce0929e-53d1-6ae1-75b7-4c03b50e0593