Claim total
$35,089.97
base $155.66 · payer covered $34,939.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-01-01
- Stop
- 2022-01-01
The parties
- Patient
- patient Helga Darci Dicki
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
232ea8f4-93f6-3362-db15-dbda2d8bd411