Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2019-07-17
- Stop
- 2019-07-24
The parties
- Patient
- patient Marni Pinkie Graham
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicaid
Record id
335e3613-e55f-e961-0a19-82fb40d9c487