Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-17
- Stop
- 2025-04-18
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Lara O'Kon
- Care site
- care site FAMILY LINK SOCIAL SERVICES
Record id
003012ce-f819-e17b-f038-a43fa46db1ca