Encounter for check up

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patient Elbert Rod Lemke
Encounter for check up

Claim total

$93.39

base $93.39 · payer covered $43.39

The visit

Class: Ambulatory
Code: 185349003
Reason: diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start: 1998-03-28
Stop: 1998-03-28

The parties

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

Record id 039e51d1-c563-811d-ee23-bf0861511754