General examination of patient

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patient Hans Becker
General examination of patient

Claim total

$838.28

base $93.83 · payer covered $0.00

The visit

Class: Wellness
Code: 162673000
Reason: —
Start: 2018-09-02
Stop: 2018-09-02

The parties

Patient: patient Hans Becker
Provider: provider Magen Mertz
Care site: care site REGENTS OF THE UNIVERSITY OF MINNESOTA
Payer: payer Blue Cross Blue Shield

Record id 33ce962c-c56e-1768-7af3-02b7d1f8a8ea