Claim total
$49,914.17
base $155.66 · payer covered $31,789.93
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-09-03
- Stop
- 2026-09-03
The parties
- Patient
- patient Clarissa Cathleen Heaney
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
380d3232-935f-fdc4-7af7-14d46a172f07