WPH

AUGUST 14, 2025 (4:30pm)
46 Years Old
Routine Mammogram
100% Preventative (no symptoms!)

INSURANCE: Tier 1, Northwell Direct, Bronze 2500

A. Explanation of Benefits: 9/19/2025, Doc #27302918
EOB_27302918.pdf

B. Explanation of Benefits: 9/19/2025, Services
EOB_Services.pdf

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