Claim details

Dr. Elliot Grant

Specialist visit · Jul 11, 2026

In-network

Cost breakdown

Billed amount$340

Allowed amount$240

Copay$60

Applied to deductible$0

Applied to coinsurance$0

Plan paid$180

You owe (per EOB)$60

Claim CLM-260711-002

See the coverage rules behind this claim's copay and deductible.

Specialist visit

$60 copay applies · Medical · Visits