Welcome to your Monthly Claim Report
Welcome ,
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Plan year |
Name |
Total BCBS Billed |
Total BCBS Allowed |
Total BCBS Paid |
Total Due Provider |
Total BPA Owes |
Total Employee Real Responsibility |
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Detailed Break Down Per Claim
Processed Date |
Date of Service |
Plan Year |
Name |
Claim Number |
Provider |
Total Billed |
Penalty |
Allowed Amount |
BCBS Paid |
Amount Due Provider |
BPA Owes |
Employee Real Responsibility |
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