Claim total
$5,751.50
base $155.66 · payer covered $1,816.91
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-11-14
- Stop
- 2025-11-14
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-ced1-ed765180bc8a