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$4,820
YTD medical expenses
1
Pending claims
2
Need appeal
1
Pending auth
Action Required: Appeal Deadlines
You have 2 denied claim(s) that can be appealed. Next deadline: 2/20/2025
Annual Physical + Labs
Sunset Family Medicine
$450
approvedDate of service: 1/10/2025
Specialist Visit + Infusion
Bay Area Rheumatology
$2,850
pendingDate of service: 12/15/2024
Pain Management Consult
Peninsula Pain Center
$380
deniedDate of service: 11/20/2024
Denial reason:
Prior authorization not obtained
Appeal by: 2/20/2025
Low Dose Naltrexone (3 months)
Belmar Pharmacy
$180
deniedDate of service: 10/15/2024
Denial reason:
Medication not on formulary
Appeal by: 1/15/2025
Physical Therapy (8 sessions)
Gentle Movement PT
$960
appealedDate of service: 9/1/2024