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小学生
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7#
楼主 |
发表于 2015-3-5 08:26:35
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只看该作者
SERVICE(S) FROM: 01/03/2015 • TO: 01/03/2015Service Date & Type
Amount Billed
Discount
Amount Not Covered
Covered Amount
Copay / Deductible
What Your Plan Paid
Coinsurance
What I Owe
See Notes
TOTALS $2,067.94 $1,514.00 $0.00 $553.94 $483.49 $63.41 $7.04 $490.53
01/03/2015 •
LABORATORY
$117.10 $85.73 $0.00 $31.37 $31.37 0% = $0.00 $0.00 $31.37 1349
01/03/2015 •
LABORATORY $111.68 $81.76 $0.00 $29.92 $29.92 0% = $0.00 $0.00 $29.92 1349
01/03/2015 •
LABORATORY $55.84 $40.88 $0.00 $14.96 $14.96 0% = $0.00 $0.00 $14.96 1349
01/03/2015 •
LABORATORY $1,783.32 $1,305.63 $0.00 $477.69 $407.24 90% = $63.41 $7.04 $414.28 1349 63刀是保险公司付的, 但是我也没看懂这些费用是怎么分配的。
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