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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 $1,088.86

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
2003-04-07
Stop
2003-04-08

The parties

Patient
patient Sarah Laurinda Vandervort
Provider
provider Tiffany Sauer
Care site
care site FAIRVIEW HEALTH SERVICES
Payer
payer Medicare
Record id 2c592f19-912d-3aa0-308e-37f82b372ec1