Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2021-06-03
- Stop
- 2021-06-03
The parties
- Patient
- patient Lucretia Phillis Crooks
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer Medicare
Record id
351eb513-0da1-4f70-5025-32f1c61b53c4