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Search Results
The following claims meet your search criteria. To view more detail for a specific claim, click on the corresponding link under Claim Type. To view the definition for the status of the claim , click on the linked status type.
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Search Results |  |
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| Claim Number | Claim Type | Status | Date of Service(s) | Patient Name | Provider Name | Total Charges |
| 00001585 | MEDICAL | Finalized | 19 Dec 1999 to 19 Dec 1999 | DANIEL | DR. MILLFORD | $79.00 |
| 30075802 | MEDICAL | Finalized | 03 Feb 2003 to 03 Feb 2003 | TIFFANY | WILLIAM LAHOUSE | $320.00 |
| 00001090 | MEDICAL | Finalized | 22 Dec 1999 to 22 Dec 1999 | LAUREN | FACILITY MULTICARE ASSOCI | $115.97 |
| 00006075 | MEDICAL | Finalized | 24 Dec 1999 to 24 Dec 1999 | STEFAN | WILLIAM SYPURIA | $82.00 |
| 00001589 | MEDICAL | Finalized | 05 Jan 2000 to 05 Jan 2000 | LAUREN | FACILITY MULTICARE ASSOCI | $63.00 |
| 00001590 | MEDICAL | Finalized | 05 Jan 2000 to 05 Jan 2000 | DANIEL | FACILITY MULTICARE ASSOCI | $82.00 |
| 00001444 | DENTAL | Finalized | 08 Jan 2000 to 08 Jan 2000 | DANIEL | GREG BEINLICH | $47.00 |
| 00003007 | MEDICAL | Finalized | 17 Jan 2000 to 17 Jan 2000 | LAUREN | FACILITY MULTICARE ASSOCI | $63.00 |
| 00003415 | MEDICAL | Finalized | 31 Jan 2000 to 31 Jan 2000 | LAUREN | FACILITY MULTICARE ASSOCI | $45.00 |
| 00005444 | MEDICAL | Finalized | 07 Mar 2000 to 07 Mar 2000 | LAUREN | FACILITY MULTICARE ASSOCI | $63.00 |
| 00005942 | MEDICAL | Finalized | 14 Mar 2000 to 14 Mar 2000 | DANIEL | KAYE ANN M JOAQUIN MD | $144.97 |
| 00007940 | MEDICAL | Finalized | 26 Mar 2000 to 26 Mar 2000 | LAUREN | FACILITY ANDOVER PARK CLI | $81.00 |
| 00006898 | MEDICAL | Finalized | 21 Apr 2000 to 21 Apr 2000 | LAUREN | DAVID SAHLSTROM | $71.00 |
| 00006902 | MEDICAL | Finalized | 21 Apr 2000 to 22 Apr 2000 | LAUREN | FACILITY ANDOVER PARK CLI | $102.00 |
| 00006902 | MEDICAL | Finalized | 22 Apr 2000 to 22 Apr 2000 | LAUREN | DAVID SAHLSTROM | $30.00 |
| 00007283 | MEDICAL | Finalized | 22 Apr 2000 to 23 Apr 2000 | LAUREN | FACILITY UNITY MEDICAL CE | $1,567.80 |
| 00006902 | MEDICAL | Finalized | 22 Apr 2000 to 22 Apr 2000 | LAUREN | DAVID SAHLSTROM | $30.00 |
| 10006724 | MEDICAL | Finalized | 23 Apr 2000 to 23 Apr 2000 | LAUREN | ANTHONIA OLAJIDEKUK | $97.93 |
| 00008211 | DENTAL | Finalized | 16 May 2000 to 16 May 2000 | TIFFANY | FACILITY MAPLE BROOK DENT | $103.00 |
| 00010053 | MEDICAL | Finalized | 06 Jun 2000 to 06 Jun 2000 | LAUREN | KAYE ANN M JOAQUIN MD | $150.97 |
| 00011506 | DENTAL | Finalized | 15 Jul 2000 to 15 Jul 2000 | DANIEL | GREG BEINLICH | $82.00 |
| 00016086 | MEDICAL | Finalized | 25 Sep 2000 to 25 Sep 2000 | LAUREN | RAKIM W KEANE MD | $102.80 |
| 00015877 | DENTAL | Finalized | 26 Sep 2000 to 26 Sep 2000 | DANIEL | LISSA RYNDERS | $89.32 |
| 10017679 | MEDICAL | Finalized | 15 Oct 2000 to 15 Oct 2000 | DANIEL | DAVID SAHLSTROM | $71.00 |
| 10006724 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT | $109.00 |
| 10006724 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT GORNIA | $109.00 |
| 10006725 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT GORNIA | $10.00 |
| 10017680 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT | $10.00 |
| 20002294 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT GORNIA | $10.00 |
| 20002295 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | CHARLES A BRYZ-GORNIA MD | $254.00 |
| 10006724 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT GORNIA | $254.00 |
| 10006724 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT | $254.00 |
| 10006724 | MEDICAL | Finalized | 17 Oct 2000 to 17 Oct 2000 | TIFFANY | DR. BRYANT GORNIA | $10.00 |
| 10000677 | MEDICAL | Finalized | 20 Oct 2000 to 20 Oct 2000 | TIFFANY | GARY KOSEL | $342.00 |
| 10009120 | MEDICAL | Finalized | 21 Oct 2000 to 21 Oct 2000 | LAUREN | FORD SIGMUNDSON | $52.00 |
| 00017738 | DENTAL | Finalized | 10 Nov 2000 to 10 Nov 2000 | DANIEL | LISSA RYNDERS | $336.98 |
| 00017820 | DENTAL | Finalized | 17 Nov 2000 to 17 Nov 2000 | TIFFANY | FACILITY MAPLE BROOK DENT | $73.00 |
| 10001068 | MEDICAL | Finalized | 21 Nov 2000 to 21 Nov 2000 | STEFAN | WILLIAM SYPURA | $100.00 |
| 10009350 | MEDICAL | Finalized | 23 Dec 2000 to 23 Dec 2000 | LAUREN | RAKIM KEANE | $123.90 |
| 10001679 | MEDICAL | Finalized | 08 Jan 2001 to 08 Jan 2001 | LAUREN | KAYE ANN M JOAQUIN MD | $69.00 |
| 10002209 | MEDICAL | Finalized | 15 Jan 2001 to 15 Jan 2001 | DANIEL | KAYE ANN M JOAQUIN MD | $123.90 |
| 10003425 | MEDICAL | Finalized | 22 Jan 2001 to 22 Jan 2001 | LAUREN | JOAQUIN ANDERSON | $104.00 |
| 10003675 | DENTAL | Finalized | 23 Jan 2001 to 23 Jan 2001 | DANIEL | LISSA RYNDERS | $62.93 |
| 10004773 | MEDICAL | Finalized | 02 Feb 2001 to 02 Feb 2001 | LAUREN | STEVEN BENTZ MD | $69.00 |
| 10017682 | MEDICAL | Finalized | 05 Feb 2001 to 05 Feb 2001 | TIFFANY | DR. BRYANT GORNIA | $71.00 |
| 10007325 | MEDICAL | Finalized | 08 Feb 2001 to 08 Feb 2001 | TIFFANY | FREDERIC W SIGMUNDSON MD | $177.00 |
| 10006714 | MEDICAL | Finalized | 20 Feb 2001 to 20 Feb 2001 | TIFFANY | FACILITY UNITY HOSPITAL | $1,567.80 |
| 10007289 | MEDICAL | Finalized | 20 Feb 2001 to 20 Feb 2001 | TIFFANY | FACILITY HOSPITAL PATHOLO | $102.00 |
| 10017681 | MEDICAL | Finalized | 20 Feb 2001 to 20 Feb 2001 | TIFFANY | SIGMUNDSON FREDERIC | $591.00 |
| 10007932 | MEDICAL | Finalized | 28 Feb 2001 to 28 Feb 2001 | DANIEL | JOAQUIN KAYE | $331.55 |
| 10018342 | DENTAL | Finalized | 15 May 2001 to 15 May 2001 | TIFFANY | LAWRENCE KOTOK | $348.00 |
| 10014459 | MEDICAL | Finalized | 26 May 2001 to 26 May 2001 | STEFAN | LAMAR DELZELL | $53.00 |
| 10014499 | MEDICAL | Finalized | 26 May 2001 to 26 May 2001 | STEFAN | LAMAR DELZELL | $66.00 |
| 10016330 | MEDICAL | Finalized | 20 Jun 2001 to 20 Jun 2001 | LAUREN | JOAQUIN KAYE | $173.15 |
| 10020510 | DENTAL | Finalized | 07 Aug 2001 to 07 Aug 2001 | DANIEL | LISSA RYNDERS | $95.41 |
| 10020511 | DENTAL | Finalized | 07 Aug 2001 to 07 Aug 2001 | LAUREN | LISSA RYNDERS | $129.92 |
| 10027641 | MEDICAL | Finalized | 16 Oct 2001 to 16 Oct 2001 | LAUREN | ALAN SADOWSKY | $197.00 |
| 20009861 | MEDICAL | Finalized | 09 Nov 2001 to 09 Nov 2001 | LAUREN | PURNIMA VENKATESH | $77.00 |
| 10030248 | DENTAL | Finalized | 16 Nov 2001 to 16 Nov 2001 | TIFFANY | LAWRENCE KOTOK | $90.00 |
| 20002450 | MEDICAL | Finalized | 14 Dec 2001 to 14 Dec 2001 | STEFAN | Not Available | $201.00 |
| 20003224 | MEDICAL | Finalized | 18 Dec 2001 to 18 Dec 2001 | STEFAN | Not Available | $1,189.00 |
| 20012552 | MEDICAL | Finalized | 19 Dec 2001 to 19 Dec 2001 | LAUREN | ANATOLE B BAILEY MD | $77.00 |
| 20018990 | MEDICAL | Finalized | 19 Dec 2001 to 19 Dec 2001 | LAUREN | ANATOLE B BAILEY MD | $77.00 |
| 20002451 | MEDICAL | Finalized | 20 Dec 2001 to 20 Dec 2001 | STEFAN | Not Available | $70.00 |
| 20013739 | MEDICAL | Finalized | 29 Dec 2001 to 29 Dec 2001 | LAUREN | RAKIM KELLEHAR | $77.00 |
| 20018914 | MEDICAL | Finalized | 29 Dec 2001 to 29 Dec 2001 | LAUREN | RAKIM KELLEHAR | $77.00 |
| 20009209 | MEDICAL | Finalized | 03 Jan 2002 to 03 Jan 2002 | STEFAN | FACILITY NOVACARE OUTPATI | $255.00 |
| 20012497 | MEDICAL | Finalized | 03 Jan 2002 to 03 Jan 2002 | STEFAN | Not Available | $255.00 |
| 20012592 | MEDICAL | Finalized | 03 Jan 2002 to 03 Jan 2002 | TIFFANY | LISSAINE HASS | $208.00 |
| 20016763 | MEDICAL | Finalized | 03 Jan 2002 to 03 Jan 2002 | TIFFANY | DR. BRYANT | $208.00 |
| 20003512 | MEDICAL | Finalized | 04 Jan 2002 to 04 Jan 2002 | STEFAN | RALPH THORTON | $225.00 |
| 20016541 | MEDICAL | Processed | 07 Jan 2002 to 07 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20003513 | MEDICAL | Finalized | 07 Jan 2002 to 07 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20010436 | MEDICAL | Finalized | 09 Jan 2002 to 09 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20016544 | MEDICAL | Processed |
11 Jan 2002 to 11 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20004330 | MEDICAL | Finalized | 14 Jan 2002 to 14 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20016545 | MEDICAL | Finalized | 16 Jan 2002 to 16 Jan 2002 | STEFAN | RALPH THORTON | $180.00 |
| 20004803 | MEDICAL | Finalized | 18 Jan 2002 to 18 Jan 2002 | STEFAN | RALPH THORTON | $249.00 |
| 20004804 | MEDICAL | Finalized | 23 Jan 2002 to 23 Jan 2002 | STEFAN | RALPH THORTON | $254.00 |
| 20008201 | MEDICAL | Finalized | 30 Jan 2002 to 30 Jan 2002 | STEFAN | Not Available | $70.00 |
| 20007538 | MEDICAL | Finalized | 19 Feb 2002 to 19 Feb 2002 | LAUREN | Not Available | $77.00 |
| 20009186 | DENTAL | Finalized | 26 Mar 2002 to 26 Mar 2002 | LAUREN | LISSA RYNDERS |
$97.44 |
| 20009188 | DENTAL | Finalized | 26 Mar 2002 to 26 Mar 2002 | DANIEL | LISSA RYNDERS | $334.95 |
| 20011696 | MEDICAL | Finalized | 26 Mar 2002 to 26 Mar 2002 | LAUREN | Not Available | $77.00 |
| 20011831 | MEDICAL | Finalized | 27 Mar 2002 to 27 Mar 2002 | DANIEL | Not Available | $133.00 |
| 20012165 | MEDICAL | Finalized | 03 Apr 2002 to 03 Apr 2002 | LAUREN | SIGMUND MARSHALL | $77.00 |
| 20016551 | MEDICAL | Finalized | 20 May 2002 to 20 May 2002 | DANIEL | SIGMUND MARSHALL | $77.00 |
| 20016673 | DENTAL | Finalized | 05 Jun 2002 to 05 Jun 2002 | TIFFANY | LAWRENCE KOTOK | $128.00 |