Prenatal initial visit

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patient Shawnta Charlena Franecki
Prenatal initial visit

Claim total

$33,928.98

base $155.66 · payer covered $33,928.98

The visit

Class: Ambulatory
Code: 424441002
Reason: diagnosis concept Normal pregnancy72892002
Start: 2024-04-07
Stop: 2024-04-07

The parties

Patient: patient Shawnta Charlena Franecki
Provider: provider Verdie Schowalter
Care site: care site ALLINA HEALTH SYSTEM
Payer: payer Blue Cross Blue Shield

Record id 1d976b23-0166-2107-3244-001fea728594