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Office VisitEOB-2024-001234
Dr. Sarah Johnson, MD
Service Date: November 15, 2024
$285.00
Total Charged
🚨 Potential Billing Error Detected
You may have been charged incorrectly for preventive care that should be 100% covered.
Potential Savings
$67.50
Financial Breakdown
$285.00
Total Charged
$196.50
Medicare Paid
$67.50
You Paid
$21.00
Coinsurance Applied
Service Details
Services Provided
| Service | Code | Qty | Charged | Allowed | Paid |
|---|---|---|---|---|---|
| Office visit, established patient, moderate complexity | 99213 | 1 | $285.00 | $242.25 | $196.50 |
Diagnosis Information
Primary Diagnosis
Z00.00
Encounter for general adult medical examination without abnormal findings
Provider Information
- Provider:
- Dr. Sarah Johnson, MD
- Provider Type:
- Primary Care
- NPI:
- 1234567890
- Facility:
- Denver Family Medicine
- Place of Service:
- Office (11)
Claim Information
- Claim ID:
- EOB-2024-001234
- Service Date:
- November 15, 2024
- End Date:
- November 15, 2024
- Processed Date:
- November 20, 2024
- Status:
- APPROVED
Coverage Analysis
Medicare Coverage
Covered Service
Part BThis service is covered under your Medicare plan. No deductible was applied.
Cost Breakdown
Provider Charged:$285.00
Medicare Allowed:$242.25
Medicare Paid:$196.50
Coinsurance (20%):$21.00
Your Responsibility:$67.50
AI Analysis
Claim Analysis Complete
Our AI has analyzed this claim against Medicare guidelines, billing patterns, and your coverage.
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