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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$16,048.75
base $127.17 · payer covered $16,013.75

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
2023-01-29
Stop
2023-01-31

The parties

Patient
patient Gregorio Emory Zieme
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Dual Eligible
Record id 08c7e7ec-1b6d-3f07-6222-ba959c9868cd