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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$13,844.90
base $127.17 · payer covered $13,794.90

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
1980-11-01
Stop
1980-11-02

The parties

Patient
patient Guillermo Neil Dickinson
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Medicaid
Record id 293f5dd0-3f7a-994e-69f0-a1e5913073eb