Admit Date/Diagnosis Insurance Financial Class Timely Filing Limit IN NETWORK Deductible Status OON Deductible Status Hospital Auth# Last Covered Date Billing Provider Network Status Discharge Date Billing Status Claim Sent Confirmation Mon Attending Provider Billing Provider Network Type Service Type Tue Attending Provider Billing Provider Network Type Service Type Wed Attending Provider Billing Provider Network Type Service Type Thu Attending Provider Billing Provider Network Type Service Type Fri Attending Provider Billing Provider Network Type Service Type Sat Attending Provider Billing Provider Network Type Service Type Sun Attending Provider Billing Provider Network Type Service Type Action
COX,COLBY 3/14/2019 F31.9 Life Shield Claim mailing address is po box 2660 farmington hills mi 48333. TFL 1 Year  1 Year DED $1000 MET $0 06-13-2019 DED $1000 MET $0 06-13-2019 50231 03/20/19 SHAMIMA S KHAN MD N/A 03/20/19 Hold for Deductible