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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$10,185.42
base $127.17 · payer covered $8,148.34

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
1997-06-21
Stop
1997-06-22

The parties

Patient
patient Lucie Shayla Metz
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Medicare
Record id 0095f26f-6c35-6a9c-a791-1205970dc3d6