New Office Visit

8 required fields missing

1. Student *

2. Visit Type *

3. Chief Complaint / Reason *

4. Assessment *

5. Interventions *

6. Disposition *

7. Medicaid Billing Fields (Required for Reimbursement)

CPT Code *

ICD-10 Diagnosis *

Provider *

SoonerCare ID

All fields marked * are required for Medicaid claim submission (Rules of Completion).