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Claim details
Dr. Helen Choi
Primary care visit · Jul 22, 2026
In-networkCost breakdown
Billed amount$200
Allowed amount$140
Copay$35
Applied to deductible$0
Applied to coinsurance$0
Plan paid$105
You owe (per EOB)$35
Claim CLM-260722-001
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See the coverage rules behind this claim's copay and deductible.
Primary care visit