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Visit

Hospital admission for isolation

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$10,281.24
base $127.17 · payer covered $6,168.81

The visit

Class
Inpatient
Code
1505002
Reason
diagnosis concept Disease caused by severe acute respiratory syndrome coronavirus 2840539006
Start
2021-01-21
Stop
2021-01-26

The parties

Patient
patient Leo Ramon Wolf
Provider
provider Liane Wehner
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Aetna
Record id 0132d8d5-6e6e-d90f-1408-7d652693a99c