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Visit

Prenatal visit

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$14,241.59
base $155.66 · payer covered $14,241.59

The visit

Class
Ambulatory
Code
424619006
Reason
diagnosis concept Normal pregnancy72892002
Start
2021-05-30
Stop
2021-05-30

The parties

Patient
patient Delilah Cleotilde Goldner
Provider
provider Donette Hilpert
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Blue Cross Blue Shield
Record id 05f1dbc7-3ebc-37ee-1645-015c628691b8