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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
2018-12-19
Stop
2018-12-19

The parties

Patient
patient Temple Joe Beer
Provider
provider Grant Mitchell
Care site
care site FAIRVIEW SOUTHDALE HOSPITAL
Payer
payer Humana
Record id 031e9e86-1ff9-e433-1ba7-4c5ab377a977