BenefitWallet - Participant Portal

Terry Smith
2
- Notifications (2)
  
  Your payment of $200 is due on 22 July, 2015...
  
  Pay now
  
  May 25
  
  Your documentation of claim #73655 has not...
  
  Submit now
  
  May 21
  
  After receiving your enquiry or if you sort them into groups...
  
  Apr 18
  
  Lorem ipsum dolor sit amet, consectetur adipiscing elit...
  
  Apr 16
3
- Messages (3)
  
  David M.
  
  Thanks for update on HRA account.
  
  May 25
  
  Eliz Smarter
  
  Hi John, how are you?
  
  May 21
  
  Tanguy Thiran
  
  Hi John, how are you?
  
  Apr 18
  
  John Smith
  
  Don’t forget to update your personal info.
  
  Apr 16

Health Plan Claim Details

Claim Amount

$75.00

Service Date

01/02/2017

Received Date

01/27/2017

Provider/Vendor

Dr. Jones

Recipient

Lee Smith

Status

Paid to Myself

Paid Amount

$50.00

Paid Date

01/31/2017

Transaction ID

C 123456789

Health Plan Claim ID

BCBSTX-12345

Deductible Amount

$0.00

Co-Payment Amount

$0.00

Co-Insurance Amount

$0.00

Billed Amount

$90.00

Allowed Amount

$90.00

Total Liability Amount

$75.00

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