Claim total
$18,350.10
base $155.66 · payer covered $12,845.07
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-12-31
- Stop
- 2025-12-31
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-463e-944be0ce0c95