Tuesday, March 2, 2027 · visit today at 2:30 PM

Bills & insurance

Every statement shows what was billed, what Pacific Shore Health PPO paid, the plan’s discount and what’s left for you.

Statements

  • Sep 14, 2026 · Video follow-up, Dr. Okafor

    Billed$210.00
    Pacific Shore Health PPO paid−$150.00
    Plan discount−$35.00
    You paid−$25.00
    You owe$0.00
  • Feb 24, 2027 · Lab work: lipid panel, A1c, kidney, thyroid and blood count

    Billed$186.00
    Pacific Shore Health PPO paid−$112.40
    Plan discount−$48.60
    You owe$25.00

    Demo cards: 4242 4242 4242 4242 works; 4000 0000 0000 0002 is declined.

Insurance on file

Plan
Pacific Shore Health PPO
Member ID
PSH-7731-0942
Group
40217
Subscriber
Theo Brandt
Office visit copay
$25.00

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