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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 $43.39

The visit

Class
Ambulatory
Code
185347001
Reason
diagnosis concept Injury of tendon of the rotator cuff of shoulder307731004
Start
2021-06-29
Stop
2021-06-29

The parties

Patient
patient Jonas Raymond Haley
Provider
provider Jack Boehm
Care site
care site ALLINA HEALTH SYSTEM
Payer
payer Medicaid
Record id 2e07b33a-27a0-451d-1156-34a503b93c30