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Visit

Hospital admission for isolation

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$15,973.53
base $127.17 · payer covered $15,923.53

The visit

Class
Inpatient
Code
1505002
Reason
diagnosis concept Disease caused by severe acute respiratory syndrome coronavirus 2840539006
Start
2020-12-24
Stop
2021-01-02

The parties

Patient
patient Basil Josef Bosco
Provider
provider Romona Purdy
Care site
care site NORTH MEMORIAL HEALTH CARE
Payer
payer Medicaid
Record id 03478e49-59cf-7140-8ca1-7cc6c6bb653e