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Visit

Death Certification

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$157.11
base $93.83 · payer covered $125.68

The visit

Class
Wellness
Code
308646001
Reason
diagnosis concept Acute ST segment elevation myocardial infarction401303003
Start
2024-08-15
Stop
2024-08-15

The parties

Patient
patient Simon Frederic Gulgowski
Provider
provider Elbert Schaefer
Care site
care site INDIAN HEALTH BOARD OF MINNEAPOLIS INC
Payer
payer Medicare
Record id 034c4f48-8c73-4f35-7948-231bff5698e9