EXPLANATION OF BENEFITS
Jordan Tzouhas
Gianlouca Dibadj
1129 Mount Pleasant Rd.
Customer Number:
Petline (PIO Pets)
1811627
Toronto ON M4P 2M8
This is a summary of your claim adjustment. For more details, please refer to the applicable section below.
Member #: 1811627
Reference
Section 1
Total
Claim #: 504039962
Claimed
$139.44
$139.44
Uninsurable
$139.44
$139.44
Ineligible
$0.00
$0.00
Co-Insurance
$0.00
$0.00
Deductible
$0.00
$0.00
Paid
$0.00
$0.00
Total benefits paid since 08/10/2020: $1,249.51
Section 1: Pet: Luna
Condition: Gastro-intestinal Problems and Associated Conditions
Treatment dates: 08/29/2023 to 08/29/2023
* We regret we are unable to cover treatment for this condition as it is not covered by your policy.
CL_001