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Visit

Admission to intensive care unit

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$196,193.30
base $127.17 · payer covered $196,193.30

The visit

Class
Inpatient
Code
305351004
Reason
diagnosis concept Disease caused by severe acute respiratory syndrome coronavirus 2840539006
Start
2021-01-26
Stop
2021-02-04

The parties

Patient
patient Leo Ramon Wolf
Provider
provider Jerrod Roob
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Aetna
Record id 0132d8d5-6e6e-d90f-f123-ed44f508928e