ERA / EOB Remittances
835 Electronic Remittance Advice and Explanation of Benefits
Total Billed (Period)
$33,068.00
Total Paid / Received
$27,426.52
Total Adjustments
$5,641.48
UnitedHealthcare Choice Plus
EOB-2025-0114-8 · Check CHK-992233441 · 8 claims · Jan 14, 2025
Billed
$27,100.00
Paid
$22,840.00
Adjustment
$4,260.00
Cigna Open Access Plus
EOB-2025-0114-5 · Check EFT-882233110 · 1 claims · Jan 14, 2025
Billed
$220.00
Paid
$0.00
Adjustment
$220.00
Medicare Part B
EOB-2025-0113-9 · Check EFT-MCR-003344 · 2 claims · Jan 13, 2025
Billed
$928.00
Paid
$694.12
Adjustment
$233.88