SYNTHETIC HOSPITAL CLINICAL SOURCE. NOT A REAL PATIENT RECORD.
Document: CLN-000010
Claim number: MER-000010
Specialty: Cardiology
Author: Lindqvist, Sara MD
Recorded: 2024-11-21

SYNTHETIC CLINICAL SOURCE. NOT A REAL PATIENT RECORD. Claim MER-000010, patient token SYN-PT-GH19WADWF, service date 2024-11-19. Pre-operative diagnosis I21.4. Procedure performed: Insertion of permanent pacemaker with atrial and ventricular leads (33208). Surgeon Lindqvist, Sara MD. The patient was positioned and prepared in the usual fashion. The procedure was completed as planned with no intra-operative complication recorded. Estimated blood loss was documented as minimal. Counts were correct at closure.  Disposition to recovery in stable condition. This record is fictional source material for document to claim linkage. It is not a coverage determination and asserts no payment entitlement.

REVIEW REQUIREMENTS
A linked document is not a verified clinical criterion. A qualified reviewer must confirm that
this record satisfies the payer requirement in force on the service date before any appeal.
