Non-urgent orthopedic admission

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patient Elbert Rod Lemke
Non-urgent orthopedic admission

Claim total

$20,054.53

base $127.17 · payer covered $20,004.53

The visit

Class: Inpatient
Code: 183495009
Reason: diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start: 1998-01-29
Stop: 1998-02-03

The parties

Patient: patient Elbert Rod Lemke
Provider: provider Rachelle Borer
Care site: care site HENNEPIN HEALTHCARE SYSTEM INC
Payer: payer Medicaid

Record id 039e51d1-c563-811d-ba08-e8f104e7fd4d