Patient encounter procedure

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patient Delilah Cleotilde Goldner
Patient encounter procedure

Claim total

$4,382.21

base $155.66 · payer covered $3,067.54

The visit

Class: Outpatient
Code: 308335008
Reason: Contraception care389095005
Start: 2024-06-23
Stop: 2024-06-23

The parties

Patient: patient Delilah Cleotilde Goldner
Provider: provider Bethanie Wintheiser
Care site: care site FAIRVIEW HEALTH SERVICES
Payer: payer Blue Cross Blue Shield

Record id 05f1dbc7-3ebc-37ee-2e84-d766839fb455