Claim total
$11,155.72
base $155.66 · payer covered $11,155.72
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-03-10
- Stop
- 2026-03-10
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-9f63-4dc644650877