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Visit

Prenatal initial visit

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$12,144.11
base $155.66 · payer covered $8,069.54

The visit

Class
Ambulatory
Code
424441002
Reason
diagnosis concept Normal pregnancy72892002
Start
2019-05-12
Stop
2019-05-12

The parties

Patient
patient Delilah Cleotilde Goldner
Provider
provider Leila Thiel
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Blue Cross Blue Shield
Record id 05f1dbc7-3ebc-37ee-7578-9ecadf1dc1c9