Claims
Submitted 837 claims.
| Claim | Subscriber | Charge | Service | Provider | Payer |
|---|---|---|---|---|---|
| CLM0000001 | B01M000000 | 874.00 | 27 Feb 2025 | MULTI-SPECIALTY | MERIDIAN HEALTH PLAN |
| CLM0000001 | B02M000000 | 166.00 | 30 Jul 2026 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000001 | B03M000000 | 839.00 | 1 Feb 2026 | FAMILY MEDICINE | NORTHSTAR MUTUAL |
| CLM0000001 | B04M000000 | 743.00 | 10 Apr 2026 | ORTHOPAEDICS | NORTHSTAR MUTUAL |
| CLM0000001 | B05M000000 | 251.00 | 16 Sep 2025 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000001 | B06M000000 | 520.00 | 18 Aug 2025 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000001 | B07M000000 | 365.00 | 17 May 2025 | CARDIOLOGY | MERIDIAN HEALTH PLAN |
| CLM0000001 | B08M000000 | 840.00 | 29 Jun 2025 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000001 | B09M000000 | 132.00 | 16 Feb 2024 | MULTI-SPECIALTY | MERIDIAN HEALTH PLAN |
| CLM0000001 | B10M000000 | 266.00 | 26 Sep 2025 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000002 | B01M000000 | 877.00 | 25 Aug 2024 | MULTI-SPECIALTY | MERIDIAN HEALTH PLAN |
| CLM0000002 | B02M000000 | 304.00 | 23 Jun 2026 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000002 | B03M000000 | 474.00 | 3 Aug 2026 | ORTHOPAEDICS | NORTHSTAR MUTUAL |
| CLM0000002 | B04M000000 | 284.00 | 8 Jun 2025 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000002 | B05M000000 | 499.00 | 16 Jun 2026 | ORTHOPAEDICS | NORTHSTAR MUTUAL |
| CLM0000002 | B06M000000 | 672.00 | 20 Jul 2025 | CARDIOLOGY | NORTHSTAR MUTUAL |
| CLM0000002 | B07M000000 | 135.00 | 11 Jan 2026 | ORTHOPAEDICS | MERIDIAN HEALTH PLAN |
| CLM0000002 | B08M000000 | 810.00 | 22 Apr 2026 | CARDIOLOGY | CASCADE CARE |
| CLM0000002 | B09M000000 | 405.00 | 15 Jan 2026 | MULTI-SPECIALTY | MERIDIAN HEALTH PLAN |
| CLM0000002 | B10M000000 | 555.00 | 31 Jan 2025 | MULTI-SPECIALTY | CASCADE CARE |
| CLM0000003 | B01M000000 | 816.00 | 21 Jun 2024 | ORTHOPAEDICS | MERIDIAN HEALTH PLAN |
| CLM0000003 | B02M000000 | 283.00 | 13 Jun 2026 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000003 | B03M000000 | 830.00 | 19 Jan 2025 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000003 | B04M000000 | 223.00 | 6 Jan 2025 | CARDIOLOGY | NORTHSTAR MUTUAL |
| CLM0000003 | B05M000000 | 876.00 | 27 Oct 2025 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000003 | B06M000000 | 439.00 | 23 Mar 2024 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000003 | B07M000000 | 494.00 | 15 Sep 2025 | FAMILY MEDICINE | MERIDIAN HEALTH PLAN |
| CLM0000003 | B08M000000 | 277.00 | 12 Jul 2025 | MULTI-SPECIALTY | CASCADE CARE |
| CLM0000003 | B09M000001 | 399.00 | 6 Jun 2026 | CARDIOLOGY | MERIDIAN HEALTH PLAN |
| CLM0000003 | B10M000000 | 489.00 | 1 Sep 2025 | CARDIOLOGY | CASCADE CARE |
| CLM0000004 | B01M000000 | 685.00 | 26 Apr 2026 | MULTI-SPECIALTY | MERIDIAN HEALTH PLAN |
| CLM0000004 | B02M000000 | 374.00 | 12 Apr 2026 | ORTHOPAEDICS | CASCADE CARE |
| CLM0000004 | B03M000001 | 319.00 | 4 Jan 2026 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000004 | B04M000000 | 742.00 | 23 Jul 2025 | ORTHOPAEDICS | NORTHSTAR MUTUAL |
| CLM0000004 | B05M000000 | 566.00 | 24 May 2026 | FAMILY MEDICINE | NORTHSTAR MUTUAL |
| CLM0000004 | B06M000000 | 699.00 | 11 Mar 2026 | CARDIOLOGY | NORTHSTAR MUTUAL |
| CLM0000004 | B07M000001 | 282.00 | 22 Mar 2024 | CARDIOLOGY | CASCADE CARE |
| CLM0000004 | B08M000000 | 233.00 | 17 May 2025 | ORTHOPAEDICS | CASCADE CARE |
| CLM0000004 | B09M000001 | 144.00 | 17 Feb 2025 | ORTHOPAEDICS | MERIDIAN HEALTH PLAN |
| CLM0000004 | B10M000000 | 812.00 | 19 Oct 2025 | FAMILY MEDICINE | CASCADE CARE |
| CLM0000005 | B01M000001 | 413.00 | 10 Apr 2024 | MULTI-SPECIALTY | CASCADE CARE |
| CLM0000005 | B02M000000 | 793.00 | 22 Apr 2026 | CARDIOLOGY | CASCADE CARE |
| CLM0000005 | B03M000001 | 423.00 | 18 Jan 2026 | ORTHOPAEDICS | CASCADE CARE |
| CLM0000005 | B04M000000 | 580.00 | 18 Sep 2025 | ORTHOPAEDICS | NORTHSTAR MUTUAL |
| CLM0000005 | B05M000000 | 373.00 | 12 May 2026 | MULTI-SPECIALTY | NORTHSTAR MUTUAL |
| CLM0000005 | B06M000001 | 637.00 | 26 Oct 2024 | FAMILY MEDICINE | MERIDIAN HEALTH PLAN |
| CLM0000005 | B07M000001 | 335.00 | 26 Nov 2024 | CARDIOLOGY | CASCADE CARE |
| CLM0000005 | B08M000000 | 280.00 | 9 Mar 2026 | ORTHOPAEDICS | CASCADE CARE |
| CLM0000005 | B09M000001 | 691.00 | 27 Jun 2024 | CARDIOLOGY | MERIDIAN HEALTH PLAN |
| CLM0000005 | B10M000000 | 326.00 | 15 Feb 2026 | CARDIOLOGY | CASCADE CARE |