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Member ID: 53252345-01   Name: Brown, Sue              
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Relationship: Wife
   
Billing Information
Last Bill Date   08/01/2020
Net Amount Due   $1000.00
Current Suspense   $0
Processing Status   Normal Billing
     
  DOB: 01/01/1972
   
Claims Information
 
Claim ID Provider Begin Date Status Total Charge Claim Type SubType
130670000100 Smith, Joe 01/01/2021 01 - Acce... $1000.00 Medical H
142500000200 Jones, Brian 02/15/2021 15 - Pend... $200.00 Medical M
130700000500 Smith, Joe 02/18/2021 11 - Pend... $350.00 Medical M
130900000600 Jones, Brian 03/21/2021 11 - Pend... $250.00 Medical M
     
  Group: G1234   Eff. Date: 01/01/2009   External ID: 9896695   Other Family Members: Yes
   
Other Family Members
 
Subscriber   Brown, Tom
Daughter   George-Brown, Mary Ann Elizabeth Isabella Penelope
Son   Brown, John
     
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