Claim total
$1,602.75
base $93.83 · payer covered $1,602.75
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-09-08
- Stop
- 2026-09-08
The parties
- Patient
- patient Kip Denver McKenzie
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2503f21b-df26-a5c8-0d00-3721d64120dc