Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2020-11-16
- Stop
- 2020-11-16
The parties
- Patient
- patient Thaddeus Devin Rowe
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Dual Eligible
Record id
34699965-0b0d-9c62-ded6-69a42e0b1092