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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$1,361.07
base $127.17 · payer covered $1,326.07

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
2013-10-07
Stop
2013-10-08

The parties

Patient
patient Benito Beau Keebler
Provider
provider Clayton Aufderhar
Care site
care site PARK NICOLLET METHODIST HOSPITAL
Payer
payer Dual Eligible
Record id 21f14afd-a65c-85c6-ca22-3fc6e5224649