Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-13
- Stop
- 2026-02-13
The parties
- Patient
- patient Johnathon Enrique Herzog
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
01f4bd01-9c32-7236-9b53-d2af79f0828a