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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$15,647.76
base $127.17 · payer covered $12,518.21

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute ST segment elevation myocardial infarction401303003
Start
1996-09-18
Stop
1996-09-19

The parties

Patient
patient Latasha Crist
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Medicare
Record id 0fc193c9-8970-9d72-9845-16b791d09908