Claim total
$10,047.17
base $155.66 · payer covered $10,047.17
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-14
- Stop
- 2022-08-14
The parties
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-f5e5-555ddf4f2b05