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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$1,099.90
base $93.83 · payer covered $1,099.90

The visit

Class
Wellness
Code
162673000
Reason
—
Start
2020-12-09
Stop
2020-12-10

The parties

Patient
patient Bess Mindy Boyer
Provider
provider Kenneth Mayert
Care site
care site UNIVERSAL MEDICAL SERVICES, INC
Payer
payer Dual Eligible
Record id 03ef4f74-940b-d219-8537-6acfa625dcf8