Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-03-31
- Stop
- 2022-04-01
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-5f1e-204af170b23f