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Visit

General examination of patient

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$780.15
base $93.83 · payer covered $780.15

The visit

Class
Wellness
Code
162673000
Reason
—
Start
2016-08-19
Stop
2016-08-19

The parties

Patient
patient Lavinia Kera Bartoletti
Provider
provider Magen Mertz
Care site
care site REGENTS OF THE UNIVERSITY OF MINNESOTA
Payer
payer Medicaid
Record id 268d0250-7a61-15d4-48e7-98a1a91e1233