Claim total
$5,038.15
base $155.66 · payer covered $5,038.15
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-02-17
- Stop
- 2026-02-17
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-2325-da964a7acd9d