Encounter for problem

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Claim total

$93.39

base $93.39 · payer covered $43.39

The visit

Class: Ambulatory
Code: 185347001
Reason: diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start: 2018-06-14
Stop: 2018-06-14

The parties

Patient: patient Genoveva Magaret Gutkowski
Provider: provider Vanessa Prosacco
Care site: care site FAIRVIEW HEALTH SERVICES
Payer: payer Medicaid

Record id 00efc86d-40fa-9fdc-5121-d20792e43e24