Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1981-01-18
- Stop
- 1981-01-18
The parties
- Patient
- patient Roger Lakin
- Provider
- provider Lara O'Kon
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Humana
Record id
23f088c7-c8f5-3aa8-e53d-28167fe955c0