Financial
57y · Female · MRN MV-713186 · IC 690728-01-2198
Account
7 visits- Patient owes · insurer owes RM 318.82
- RM 299.70
- Billed · 12 lines
- RM 1,128.00
- Payer adjustment
- (RM 67.68)
- Net
- RM 1,060.32
- Paid
- (RM 441.80)
- Insurer owes
- RM 318.82
- Patient owes
- RM 299.70
Not in the bill
- Not yet performed · 4
- RM 106.48
- Deposit balance · 1
- RM 450.00
By visit type
- Outpatient · 10 lines
- RM 970.00
- Inpatient · 2 lines
- RM 158.00
Transactions
16| Date | Service | Claim | Amount |
|---|---|---|---|
05/10/2026 PHM-0106 | Prednisolone Acetate 1% 5ml Eye drops Pharmacy · Dr. Chan Jan Bond | Not performed | RM 14.60 |
05/10/2026 PHM-0105 | Moxifloxacin 0.5% 5ml Eye drops Pharmacy · Dr. Chan Jan Bond | Not performed | RM 24.00 |
05/10/2026 PHM-0190 | Paracetamol 500mg Pharmacy · Dr. Chan Jan Bond | Not performed | RM 2.88 |
05/10/2026 LAB-0199 | Fasting Blood Sugar Laboratory · Dr. Chan Jan Bond | Draft | RM 18.00 |
05/10/2026 LAB-0198 | HbA1c Laboratory · Dr. Chan Jan Bond | Not performed | RM 65.00 |
05/10/2026 CON-0107 | Consultation — Specialist Consultation · Dr. Chan Jan Bond | Draft | RM 140.00 |
03/10/2026 CON-0104 | Consultation — Follow Up Consultation · Dr. Chan Jan Bond | Held | RM 70.00 |
23/09/2026 10:20 EYE-SPM-0096 | Specular Microscopy (Tomey EM-4000, OS) Procedure · Dr. Chan Jan Bond | Held | RM 80.00 |
23/09/2026 10:14 EYE-TOP-0096 | Corneal Topography (Bausch + Lomb Orbscan IIz, OS) Procedure · Dr. Chan Jan Bond | Held | RM 120.00 |
23/09/2026 10:08 EYE-OCT-0096 | Optical Coherence Tomography (Zeiss Cirrus 6000, OS) Procedure · Dr. Chan Jan Bond | Held | RM 150.00 |
23/09/2026 10:00 EYE-BIO-0096 | Optical biometry (Zeiss IOLMaster 700, OS) Procedure · Dr. Chan Jan Bond | Held | RM 80.00 |
03/08/2026 CON-0103 | Consultation — Follow Up Consultation · Dr. Chan Jan Bond | Paid | RM 70.00 |
02/06/2026 CON-0102 | Consultation — Follow Up Consultation · Dr. Chan Jan Bond | Paid | RM 70.00 |
05/04/2026 CON-0101 | Consultation — Follow Up Consultation · Dr. Chan Jan Bond | Paid | RM 110.00 |
01/02/2026 CON-0100 | Consultation — First Visit Consultation · Dr. Chan Jan Bond | Paid | RM 150.00 |
02/12/2025 CON-803940 | Consultation — Follow Up Consultation · Dr. Chan Jan Bond | Paid | RM 70.00 |
Who pays
- Who pays
- 63%
- Self-pay 37%RM 388.06
- ETIQA INSURANCE & TAKAFUL - STAFF 63%RM 672.26
Latest bills
- CLM-50679 05/10/2026 · Inpatient · owes RM 29.70Draft
- CLM-50672 03/10/2026 · Follow Up · owes RM 270.00Held
- CLM-50673 03/08/2026 · Follow Up · owes RM 0.00Paid
- CLM-50674 02/06/2026 · Follow Up · owes RM 0.00Paid