Documents
6 remittance documentsMock Data
42506627.pdf
Baines Avenue Clinic•FBC Health Insurance•2026-02-13
Completed
Claims
11
Claimed
$1,284.48
Awarded
$1,277.48
Shortfall
$7.00
Payment Reference
REF-2602749
42507082.pdf
Baines Avenue Clinic•FBC Health Insurance•2026-02-13
Completed
Claims
9
Claimed
$1,184.42
Awarded
$1,183.42
Shortfall
$1.00
Payment Reference
REF-2603182
AHTUSD_EFT_03255_Baines.pdf
Baines Avenue Clinic•Alliance Health•2026-02-16
Completed
Claims
9
Claimed
$488.78
Awarded
$479.03
Shortfall
$9.75
Payment Reference
AHTUSD EFT 03255
51135268.pdf
Baines Avenue Clinic•First Mutual Health•2026-01-21
Needs Review
Claims
12
Claimed
$1,602.79
Awarded
$1,395.04
Shortfall
$207.75
Payment Reference
REF-51135268
52758281.pdf
Baines Avenue Clinic•CIMAS Medical Aid Society•2026-01-26
Completed
Claims
12
Claimed
$1,327.65
Awarded
$1,324.65
Shortfall
$3.00
Payment Reference
REF-52758281
RemittanceAdvice_2026-02-19.pdf
Baines Avenue Clinic•Bonvie Medical Aid Scheme•2026-01-08
Completed
Claims
12
Claimed
$1,652.10
Awarded
$1,616.85
Shortfall
$35.25
Payment Reference
BATCH-50032-202601080948