Contract information:
Your group and contract information, and the family member whose services are detailed in this statement.

Contact information:
How to contact us — call or write your customer service center.

Summary of balances:
A summary of every claim we processed for this family member's services, including savings through participating providers and any out-of-pocket costs you may owe. Check for the amount we paid and out-of-pocket costs you may owe. Match this information with your bills to verify accuracy.