Claims

--Apple-Mail-7F9A9E78-855A-4225-8ED7-7553F631C85E Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit ate of Statement Benefit Type Claimant Claim Number Amount Claimed Amount Paid 05 Dec 2018 Medical Lisa 041218-BJK60-00 $270.00 $160.00 Medical Lisa 041218-BJK60-01 $30.00 $24.00 27 Nov 2018 Medical Lisa 241118-AMZ16-00 $100.00 $72.00 Medical Lisa 271118-BEP58-00 $100.00 $72.00 16 Sep 2018 Medical Timothy 140918-APH25-00 $50.00 $40.00 27 Aug 2018 Medical Timothy 260818-ABN29-00 $80.00 $64.00 22 Aug 2018 Medical Timothy 220818-ACV64-00 $90.00 $72.00 13 Aug 2018 Medical Timothy 120818-ABS06-00 $146.02 $80.00 Medical Lisa 120818-ABS57-00 $146.02 $80.00 11 Jul 2018 Medical Lisa 100718-BDW14-00 $120.00 $64.00 Medical Lisa 100718-BDW14-01 $360.00 $192.00 20 Jun 2018 Medical Timothy 200618-BDO82-00 $65.00 $44.00 Medical Timothy 200618-BDP23-00 $65.00 $0.00 19 Jun 2018 Dental Lisa 190618-AFP70-00 $250.00 $180.00 18 Jun 2018 Medical Lisa 170618-AAT39-00 $115.00 $98.00 17 Jun 2018 Medical Lisa 140618-BBV40-00 $168.00 $128.00 14 Jun 2018 Medical Timothy 140618-BAR41-00 $65.00 $48.00 31 May 2018 Medical Timothy 310518-BDL94-00 $65.00 $48.00 27 May 2018 Medical Timothy 250518-AGS38-00 $65.00 $48.00 Medical Timothy 250518-AGT18-00 $65.00 $0.00 21 May 2018 Medical Timothy 180518-AAL17-00 $65.00 $48.00 15 May 2018 Medical Timothy 150518-BDE81-00 $80.00 $64.00 19 Apr 2018 Dental Timothy 190418-ADP80-00 $200.00 $140.00 11 Mar 2018 Medical Timothy 090318-AHF54-00 $183.96 $60.00 Medical Lisa 090318-AHG47-00 $172.46 $80.00 Sent from my iPhone --Apple-Mail-7F9A9E78-855A-4225-8ED7-7553F631C85E Content-Type: text/html; charset=utf-8 Content-Transfer-Encoding: quoted-printable ate of Statement B= enefit Type Claimant Claim Number Amount Claimed Amount Paid = 05 Dec 2018&nbsp; &nbsp; Medical&nbsp; Lisa &nbsp; <font face=3D= "UICTFontTextStyleBody"