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Visit

Encounter for problem

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$93.39
base $93.39 · payer covered $0.00

The visit

Class
Ambulatory
Code
185347001
Reason
diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start
2020-12-10
Stop
2020-12-10

The parties

Patient
patient Rene Braun
Provider
provider Donette Hilpert
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer UnitedHealthcare
Record id 19754690-fe19-5759-c41f-0746a42d7afd