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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 $58.39

The visit

Class
Ambulatory
Code
185347001
Reason
diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start
2021-06-19
Stop
2021-06-19

The parties

Patient
patient Edgar Herzog
Provider
provider Earle Keeling
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Dual Eligible
Record id 1f5e460e-a26c-0249-09c9-9167656d4707