Claim total
$5,743.70
base $155.66 · payer covered $5,743.70
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-08-04
- Stop
- 2026-08-04
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-0a17-a7df98ba3591