How Your Plan Savings Was Calculated
Claim Number 2016315CJ3254
Received Nov. 10, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Claim Number 2016294CJ2614
Received Oct. 20, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$28.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$28.00
Claim Number 2016309CK2060
Received Nov. 04, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Claim Number 2016309CK2059
Received Nov. 04, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Claim Number 2016315CJ3249
Received Nov. 10, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Claim Number 2016322CN5329
Received Nov. 17, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Claim Number 2016322CN5323
Received Nov. 17, 2016
Patient David (02/15/1988)
Service From Dr Margie Smith And Assoc
Allowed Amount$40.00The amount the doctor or health care facility has agreed to accept as a negotiated payment. This is the amount used to determine how much you will owe.
Amount Plan Paid$32.00The amount your plan paid to the doctor to cover the care you received as a part of this claim.
Total Plan Savings$32.00
Medical Claim Number 2016305CM2362
Received Oct. 31, 2016
Since this claim is still pending, details and costs for this claim are not yet available. Typical processing time is 30 days.
Medical Claim Number 2016305CM2360
Received Oct. 31, 2016
Since this claim is still pending, details and costs for this claim are not yet available. Typical processing time is 30 days.