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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
2025-12-17
Stop
2025-12-18

The parties

Patient
patient Rodolfo Cesar Cartwright
Provider
provider Jack Boehm
Care site
care site ALLINA HEALTH SYSTEM
Payer
payer Dual Eligible
Record id 1c95d9b2-6189-e9d5-6f94-a1be1feff5e1