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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$1,203.37
base $93.83 · payer covered $0.00

The visit

Class
Wellness
Code
162673000
Reason
—
Start
2010-08-10
Stop
2010-08-10

The parties

Patient
patient Gordon Hoyt Mraz
Provider
provider Refugio Ruecker
Care site
care site NATIVE AMERICAN COMMUNITY CLINIC
Payer
payer Blue Cross Blue Shield
Record id 1bfe9dff-1e82-5076-ad0c-f243d67de082