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Aj Amanda Jonson
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previous medical history

Date Range

Financial details

Type of operation Amount
Total claims charge amount $12,300
Total covered by insurance $9,300
Deductions and discounts $1,000
Total patient’s out of pocket $2,000
Total claims charge amount $12,300
Total covered by insurance $9,300
Deductions and discounts $1,000
Total patient’s out of pocket $2,000
Total claims charge amount $12,300
Total covered by insurance $9,300
Total claims charge amount $12,300
Total covered by insurance $9,300
Deductions and discounts $1,000
Total patient’s out of pocket $2,000
Total claims charge amount $12,300
Total covered by insurance $9,300
Deductions and discounts $1,000
Total patient’s out of pocket $2,000
Total claims charge amount $12,300
Total covered by insurance $9,300

LAB RESULTS

Date Type of test
10/14/2019 Blood tests
09/12/2019 X-Ray
08/14/2019 EKG
07/14/2019 Blood tests
10/14/2019 Blood tests
09/12/2019 X-Ray
08/14/2019 EKG
07/14/2019 Blood tests
10/14/2019 Blood tests
09/12/2019 X-Ray
10/14/2019 Blood tests
09/12/2019 X-Ray
08/14/2019 EKG
07/14/2019 Blood tests
10/14/2019 Blood tests
09/12/2019 X-Ray
08/14/2019 EKG
07/14/2019 Blood tests
10/14/2019 Blood tests
09/12/2019 X-Ray

Last 10 Submitted Claims

Date Doctor Charged Adjusted amount Covered Patient’s responsibility
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200
10/11/2019 Dr. Jack Smith $1,500 $1,200 $1,000 $200
10/11/2019 Dr. Michael Black $2,500 $2,200 $2,000 $200

Recently Visited Providers

Date Doctor Type of service
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam
10/11/2019 Seattle imaging, X-Ray -
10/11/2019 Dr. Leila Vasquez, Dentist Crown replacement
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam
10/11/2019 Seattle imaging, X-Ray -
10/11/2019 Dr. Leila Vasquez, Dentist Crown replacement
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam
10/11/2019 Seattle imaging, X-Ray -
10/11/2019 Dr. Leila Vasquez, Dentist Crown replacement
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam
10/11/2019 Seattle imaging, X-Ray -
10/11/2019 Dr. Leila Vasquez, Dentist Crown replacement
10/11/2019 Dr. Jack Smith, Surgeon Consultation
10/11/2019 Dr. Michael Black, Physician Annual exam