Claim total
$1,586.22
base $93.83 · payer covered $1,586.22
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-01-15
- Stop
- 2025-01-15
The parties
- Patient
- patient Ronald Inga Torphy
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
05af61d0-e78c-a60a-009c-4f0456723404