Claim total
$4,170.88
base $127.17 · payer covered $3,336.70
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Acute cholecystitis65275009
- Start
- 2019-12-09
- Stop
- 2019-12-10
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
351eb513-0da1-4f70-6de4-cfc8c0353f2a