Clinical Console/Lucas Bennett - Patient Chart

Lucas Bennett - Patient Chart

L

Lucas Bennett

active

DOB: 5/30/2020 • Gender: Male • ID: pat_lucas_07

Chart Session

Insurance Prior-Authorization Expiration Tracker

Carrier: SC Healthy Connections Medicaid • Auth #: AUTH-SC-89210-P

Expiring in 21 Days
Valid: Nov 1, 2025 – Oct 15, 2026Initiate Renewal Request →
Primary Diagnoses (ICD-10)
F822023-09-14

Developmental Coordination Disorder (Motor Planning & Core Stability)

Provider: Childrens Therapy Center of Columbia

F80.02023-10-01

Phonological Speech Sound Disorder

Provider: Joy in the Journey

Interprofessional Care Team
Primary SLP

Lisa Bergenbaum, MS, CCC-SLP, TSSLD, PROMPT Trained

62% Match
Primary OT

Victoria Meade, MSOT, OTR/L

86% Match
Case Manager

Victoria Meade, MSOT, OTR/L

Active Lead
Emergency & Guardian InfoFamily Portal

Guardian: Amanda Bennett (Mother)

Phone: (803) 555-0215

Location: Lexington Clinic Sensory Gym

Parent Live Schedule (Google Calendar)

Live feed auto-syncs sessions to parent's mobile phone calendar.