Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-19
- Stop
- 2022-11-19
The parties
- Patient
- patient Charlyn Gaylord
- Provider
- provider Lara O'Kon
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Cigna Health
Record id
06497b58-bf50-66ab-5f87-ca9ccddae371