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Visit

Prenatal visit

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$9,606.45
base $155.66 · payer covered $9,606.45

The visit

Class
Ambulatory
Code
424619006
Reason
diagnosis concept Normal pregnancy72892002
Start
2021-07-25
Stop
2021-07-25

The parties

Patient
patient Delilah Cleotilde Goldner
Provider
provider Belkis Blick
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Blue Cross Blue Shield
Record id 05f1dbc7-3ebc-37ee-585d-bfa14a081822