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Visit

Encounter for check up

One dated clinical visit by one patient.

Neighborhood Provenance
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
2023-01-29
Stop
2023-01-29

The parties

Patient
patient Santa Antonina Bernier
Provider
provider Jack Boehm
Care site
care site ALLINA HEALTH SYSTEM
Payer
payer Medicaid
Record id 051f1153-ae45-1425-68e4-0158f621ac16