Expense details
Expense list
| Name |
Espense type |
Service date |
Amount submitted |
Amount eligible |
% paid |
Deductible |
Benefit paid |
| John Braddock |
Dental |
01 Oct 2011 |
$100.00 |
$100.00 |
95% |
$100.00 |
$100.00 |
How do we calculate your benefit payments
- NameJOE,JOHN
- BenefitDental miscellaneous
- The total amount submitted on your claim form for all services and/or patients.$100.00
- The maximum amount that could be paid for this service based on the published provincial or association fee structures for that service.$11.75
- The amount you must pay before benefits become eligible.$11.75
- The amount reimbursed to you after all plan maximums, restrictions and deductions have been applied.$0.00
- The total amount you have been reimbursed.$0.00
