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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$14,009.53
base $93.83 · payer covered $13,974.53

The visit

Class
Wellness
Code
162673000
Reason
—
Start
1994-04-26
Stop
1994-04-26

The parties

Patient
patient Deangelo Columbus Zboncak
Provider
provider Remona Sanford
Care site
care site REGENTS OF THE UNIVERSITY OF MINNESOTA
Payer
payer Dual Eligible
Record id 0126321a-a5af-784d-4799-24bbc049df44