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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$1,361.07
base $127.17 · payer covered $1,326.07

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
2017-11-15
Stop
2017-11-16

The parties

Patient
patient Edgar Herzog
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Dual Eligible
Record id 1f5e460e-a26c-0249-18c5-1ff9932921b2