Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-06-30
- Stop
- 2026-06-30
The parties
- Patient
- patient Bobbie Raul Blanda
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Humana
Record id
2e83441f-9da8-cd64-4da3-86c45679ef74