Claim total
$5,038.15
base $155.66 · payer covered $3,526.70
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-12-09
- Stop
- 2025-12-09
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Julia Dueñas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-4a12-24589025f4ae