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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$843.43
base $93.83 · payer covered $808.43

The visit

Class
Wellness
Code
162673000
Reason
—
Start
1972-06-20
Stop
1972-06-20

The parties

Patient
patient Deangelo Columbus Zboncak
Provider
provider Magen Mertz
Care site
care site REGENTS OF THE UNIVERSITY OF MINNESOTA
Payer
payer Dual Eligible
Record id 0126321a-a5af-784d-8664-c2dc6b21dc75