General examination of patient

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patient Carmen Alexander Aufderhar
General examination of patient

Claim total

$704.41

base $93.83 · payer covered $0.00

The visit

Class: Wellness
Code: 162673000
Reason: —
Start: 2001-06-15
Stop: 2001-06-15

The parties

Patient: patient Carmen Alexander Aufderhar
Provider: provider Janice Huel
Care site: care site Minneapolis VA Health Care System
Payer: payer Blue Cross Blue Shield

Record id 2f2d8660-b320-398b-22d4-560fbf1e966e