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Visit

Prenatal initial visit

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$52,495.20
base $155.66 · payer covered $33,596.64

The visit

Class
Ambulatory
Code
424441002
Reason
diagnosis concept Normal pregnancy72892002
Start
2021-05-02
Stop
2021-05-02

The parties

Patient
patient Delilah Cleotilde Goldner
Provider
provider Kiyoko Predovic
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Blue Cross Blue Shield
Record id 05f1dbc7-3ebc-37ee-d1da-faa84aa29e3c