Claim total
$5,615.64
base $155.66 · payer covered $5,615.64
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-07-10
- Stop
- 2026-07-10
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-b1df-e132138e3cfc