Click on a claim number to see a detailed Explanation of Benefits statement.
Claim Number |
Date of Service |
Status |
Patient Name |
Sfx |
Facility Name |
Provider Name |
Billed |
Paid |
Paid Date |
Check # |
|
19991026P001 |
10/12/1999 |
DONE |
MARK POST |
01 |
MIDNIGHT PHYSICIANS |
PAYNE, JANE MD |
65.00 |
0.00 |
11/30/1999 |
|
|
200103020001 |
03/02/2000 |
DONE |
SUSAN POST |
02 |
OUTLAND MEDICAL |
GUTSTEIN, HERB N MD |
200.00 |
0.00 |
03/23/2001 |
|
|
200004180001 |
04/01/2000 |
DONE |
MARK POST |
01 |
MEDICAL CENTER OF CENTERVILLE |
SHU, JIM MD |
131.00 |
0.00 |
05/19/2000 |
|
|
200211190001 |
09/11/2002 |
DONE |
MARK POST |
01 |
SICK DOCTORS |
SOONE, GETWEH L. MD |
92.00 |
92.00 |
12/26/2002 |
1915 |
|
200211110001 |
09/19/2002 |
DONE |
MARK POST |
01 |
YELLOWKNIFE UNIVERSITY |
FLYNN, JIMMY D. MD |
34.00 |
12.00 |
12/13/2002 |
|
|
200310140001 |
10/03/2003 |
DONE |
SUSAN POST |
02 |
STANLEY MEDICAL HOSPITAL |
|
189.65 |
161.20 |
10/28/2003 |
4551 |
|
200311170001 |
11/03/2003 |
DONE |
DEFAS A. POST |
03 |
PEDIATRIC CENTER |
MCDONALD, RON MD |
104.00 |
75.08 |
12/10/2003 |
3418 |
|
200312310001 |
12/07/2003 |
DONE |
MARK POST |
01 |
NATIONAL SERVICES |
|
10.00 |
10.00 |
01/09/2004 |
5127 |
|
|