Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2025-10-24
- Stop
- 2025-10-24
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-0fb9-cab1abed4816