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Claims
Every claim on file, most recent first.
Dr. Helen Choi
Billed amount
$200
Allowed amount
$140
Copay
$35
To deductible
$0
To coinsurance
$0
You owe (per EOB)
$35
Claim CLM-260722-001
Dr. Elliot Grant
Billed amount
$340
Allowed amount
$240
Copay
$60
To deductible
$0
To coinsurance
$0
You owe (per EOB)
$60
Claim CLM-260711-002
Quest Diagnostics
Billed amount
$250
Allowed amount
$175
Copay
$35
To deductible
$0
To coinsurance
$0
You owe (per EOB)
$35
Claim CLM-260627-003
Riverside Surgical Center
Billed amount
$2000
Allowed amount
$1400
Copay
$0
To deductible
$1400
To coinsurance
$0
You owe (per EOB)
$1400
Claim CLM-260613-004