Claim total
$15,361.54
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-11-09
- Stop
- 2025-11-09
The parties
- Patient
- patient Kamilah Mitsue Feest
- Provider
- provider Jeremy Veum
- Care site
- care site THE VILLA AT BRYN MAWR
- Payer
- payer No insurance
Record id
36b3d329-c1e5-8c68-59b9-78411f8c2625