Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2016-07-30
- Stop
- 2016-07-30
The parties
- Patient
- patient Herbert Erdman
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
2db0340b-931f-14bc-3eac-ddf0175a1aec