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Visit

Encounter for problem

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$93.39
base $93.39 · payer covered $58.39

The visit

Class
Ambulatory
Code
185347001
Reason
diagnosis concept Fracture of vertebral column without spinal cord injury15724005
Start
2019-03-22
Stop
2019-03-22

The parties

Patient
patient Efren Wilderman
Provider
provider Vanessa Prosacco
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Dual Eligible
Record id 0400ef40-232f-be7a-3611-5a33cef957da