Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-05-22
- Stop
- 2025-05-22
The parties
- Patient
- patient Clarissa Cathleen Heaney
- Provider
- provider Lara O'Kon
- Care site
- care site FAMILY LINK SOCIAL SERVICES
Record id
380d3232-935f-fdc4-945c-589d7bbd0a39