Claim total
$1,457.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-06-16
- Stop
- 2021-06-16
The parties
- Patient
- patient Miles Auer
- Provider
- provider Lara O'Kon
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Cigna Health
Record id
02b37b89-9593-6a10-5c70-6642276fd2f0