| Claim/Payment ID |
Service Date |
Service Type |
Amount |
Status |
Payment Date |
Payment Amount |
Payment Method |
|
| CLM-2024-001234 |
2024-01-15 |
Consultation
|
$1,500.00 |
Approved
|
2024-01-20 |
$1,200.00
|
Bank Transfer
|
|
| CLM-2024-001200 |
2024-01-10 |
Consultation
|
$800.00 |
Approved
|
2024-01-15 |
$640.00
|
Bank Transfer
|
|
| CLM-2024-001235 |
2024-01-16 |
Laboratory
|
$2,200.00 |
Submitted
|
- |
-
|
-
|
|
| PAY-2024-001234 |
2024-01-20 |
Payment
|
$1,200.00 |
Completed
|
2024-01-20 |
$1,200.00
|
Bank transfer
|
|
| PAY-2024-001200 |
2024-01-15 |
Payment
|
$640.00 |
Completed
|
2024-01-15 |
$640.00
|
Bank transfer
|
|
