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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$1,496.69
base $93.83 · payer covered $1,496.69

The visit

Class
Wellness
Code
162673000
Reason
—
Start
2014-03-22
Stop
2014-03-22

The parties

Patient
patient Jeremy Gregory Jacobson
Provider
provider Trent Kozey
Care site
care site CENTRAL INTERNAL MEDICINE ASSOCIATES PA
Payer
payer Blue Cross Blue Shield
Record id 04f9baea-0c64-12b2-54d4-cc51ac960f1d