| Coins/Copay – PR 2 / PR 3 | |
| 1 | May I know the Claim received date |
| 2 | May I know the claim was processed |
| 3 | May I know what is the amount applied towards the copay/co-ins |
| 4 | May I know the claim# |
| 5 | May I know the call ref# |
| 6 | Could you please fax/mail the duplicate EOB |
