Welcome, ALEX RIVERA (MRN 00418277)
» Inbox (1 unread)
| Date | From | Subject |
| 10/18/2026 | Patient Financial Services |
Your new statement is available — 4 open items totaling $2,467.00 |
» Account Statements
| Statement # | Date of Service | Description | Insurance Claim # |
Amount Due | Due Date |
| ST-88412 | 09/14/2026 | Emergency department visit | CLM-1001 | $412.00 | 11/14/2026 |
| ST-88413 | 09/14/2026 | Comprehensive metabolic panel | CLM-1002 | $25.00 | 11/14/2026 |
| ST-89107 | 10/02/2026 | MRI lumbar spine w/o contrast | CLM-1003 | $1,850.00 | 11/20/2026 |
| ST-89530 | 10/09/2026 | Physical therapy evaluation | N/A | $180.00 | 11/25/2026 |
Balances reflect insurance adjustments received to date. Pay online is temporarily unavailable; please call during business hours.
» Referrals & Authorizations
| Auth # | Service | Ordering Provider | Payer | Status |
Valid From | Valid Through |
| PA-55120 | MRI lumbar spine w/o contrast | R. Okafor, MD | Prairie Mutual Health |
Approved | 09/28/2026 | 12/27/2026 |
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