Claim total
$10,952.33
base $155.66 · payer covered $10,952.33
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-11-06
- Stop
- 2022-11-06
The parties
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-cc98-45c65c9958ab