Encounter for check up

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patient Temple Joe Beer
Encounter for check up

Claim total

$93.39

base $93.39 · payer covered $0.00

The visit

Class: Ambulatory
Code: 185349003
Reason: diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start: 2019-02-05
Stop: 2019-02-05

The parties

Patient: patient Temple Joe Beer
Provider: provider Tomas Fisher
Care site: care site FAIRVIEW SOUTHDALE HOSPITAL
Payer: payer Humana

Record id 031e9e86-1ff9-e433-a09d-95b52aeebc83