Insurance Explanation_of_benefits

Cigna EOB Claim 222134097702 Medway Air Ambulance

ID: e4b1cb10d067f95f

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Details

Category
Vendor
Cigna Health and Life Insurance Company
Amount
$141,460.00
Date
Jun 28, 2022
Processed
Sep 13, 2026 2:31 AM EDT
Original File
20230607 - Cigna.pdf

Summary

Cigna Explanation of Benefits for a claim for Sophia Jongsma for Medway Air Ambulance services on June 28, 2022; $141,460.00 billed, $83,605.62 discount, Cigna paid $57,854.38, patient owes $0.00 (100% savings).

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