Encounter for check up

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patient Rudolph Bud Batz
Encounter for check up

Claim total

$200.92

base $93.39 · payer covered $0.00

The visit

Class: Ambulatory
Code: 185349003
Reason: diagnosis concept Traumatic dislocation of temporomandibular joint81629009
Start: 2024-08-15
Stop: 2024-08-15

The parties

Patient: patient Rudolph Bud Batz
Provider: provider Alonso Hackett
Care site: care site HENNEPIN HEALTHCARE SYSTEM INC
Payer: payer No insurance

Record id 02c734eb-6a05-b133-4c42-187e3ab3fe92