General examination of patient

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patient Shon Cesar Ebert
General examination of patient

Claim total

$711.72

base $93.83 · payer covered $395.57

The visit

Class: Wellness
Code: 162673000
Reason: —
Start: 2019-11-13
Stop: 2019-11-13

The parties

Patient: patient Shon Cesar Ebert
Provider: provider David Klein
Care site: care site REGENTS OF THE UNIVERSITY OF MINNESOTA
Payer: payer Medicare

Record id 03d8f92f-53db-d7af-b6e5-da07ba97abfa