DEMO · Synthetic data
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Claim details

Dr. Elliot Grant

Specialist visit · Jul 11, 2026

In-network

Cost breakdown

Billed amount$340
$240
$60
Applied to $0
Applied to $0
Plan paid$180
You owe (per )$60

Claim CLM-260711-002

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Related benefit

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Specialist visit

$60 copay applies · Medical · Visits

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