Claim total
$11,670.87
base $155.66 · payer covered $11,670.87
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-04-05
- Stop
- 2026-04-05
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-0a7a-bfe2345679ee