Colors
Type
H1 - Gilroy SemiBold / Bold 28 / Extra Bold
H2 - Gilroy SemiBold / Bold 20 / Extra Bold
H3 - Gilroy SemiBold / Bold 18 / Extra Bold
H4 - Lato Medium / Bold 16 / Extra Bold
H5 - Lato Medium / Bold 15 / Extra Bold
Body - Lato Medium / Bold 14 / Extra Bold
Caption - Lato Medium / Bold 13 / CAPITALIZE
Montserrat Semi Bold / Montserrat Extra Bold
Field states
Forms
Textarea
Date Picker Field
Checkbox
Radio Buttons
Dropdown
Select
Select with search
Table Components
Claim Description
Date
Cost
Status
Dentist Visit at Taylor Dental
12/30/2019
Paid
12/30/2019
$1526,00
Paid
Provider visit at Intermountain Medical. Provider visit at Intermountain Medical.
1/17/2020
Pending
1/17/2020
$1256,00
Pending
Provider visit to Standard Optical
3/24/2019
Paid
3/24/2019
$89,00
Paid
Provider visit at Intermountain Medical
7/12/201
Denied
7/12/201
$96,00
Denied
Provider visit at Urgent Care, Riverton
7/12/2019
Pending
7/12/2019
$96,00
Pending
Paid
Denied
Pending
Pagination
Claim Description
Date
NUMBER ID
Cost
Status
Dependent
Coverage
Status
Jane Doe
Spouse
Active
Cards
TeleHealth
TeleMedicine and WellVia
Talk with a doctor at your
convenience for free.
Cost Transparency
Smart Cost Calculator
Know the cost of doctors, facilities,
and procedures before you visit
the doctor.
Mental Health
The Care Initiative
It’s time we address mental health.
Blunovus is here for you.
Care Management
Care Management
Your wellness program lives here with
support for every phase of your
healthcare journey.
Welcome to Your Dashboard
1232 - 4567 - 8901
Member ID
Rx BIN 610014 GRP: EMIARXD
Choice PPO
VSP 10-130
John Doe
Birthday:
01 / 01 /1980
Gender:
Male
Phone:
801-808-8049
Address:
Herriman, Utah 84070,13654 S 6548 W, Apt. 239
Recent Claims
Total Sum:
$0,00
Total:
Total Budget Status:
$0,00
Total:
Accumulators
Deductible
Paid:
N/A
Out-of-Pocket Max
N/A
Total Paid by You
$4,272.00
Accumulators
Deductible
Paid:
N/A
Out-of-Pocket Max
N/A
Total Paid by You
$4,272.00
Accumulators
Deductible
Paid:
N/A
Out-of-Pocket Max
N/A
Total Paid by You
$4,272.00
Accumulators
In-Network
Does not apply
N/A
Out-Of-Network
N/A
Major Services
N/A
Orthodontic Lifetime Maximum
N/A
Deductibles
In-NetworkIndividual
N/A
Family
N/A
Total Paid by You
$4,272.00
Accumulators
In-Network
Does not apply
$2,000
Out-Of-Network
N/A
Major Services
N/A
Orthodontic Lifetime Maximum
$5000
Deductibles
In-NetworkIndividual
$48
Family
$25
Total Paid by You
$4,272.00
Accumulators
In-Network
Does not apply
N/A
Out-Of-Network
$2,000
Major Services
N/A
Orthodontic Lifetime Maximum
N/A
Deductibles
Out-Of-NetworkIndividual
$48
Family
$25
Total Paid by You
$4,272.00
Accumulators
In-Network
Does not apply
N/A
Out-Of-Network
N/A
Major Services
N/A
Orthodontic Lifetime Maximum
N/A
Deductibles
In-NetworkIndividual
$48
Family
$25
Total Paid by You
$4,272.00
Claim Description
Date
Cost
Status
Dentist Visit at Taylor Dental
12/30/2019
Paid
12/30/2019
$1526,00
Paid
Provider visit at Intermountain Medical. Provider visit at Intermountain Medical.
1/17/2020
Pending
1/17/2020
$1256,00
Pending
Provider visit to Standard Optical
3/24/2019
Paid
3/24/2019
$89,00
Paid
Provider visit at Intermountain Medical
7/12/201
Denied
7/12/201
$96,00
Denied
Provider visit at Urgent Care, Riverton
7/12/2019
Pending
7/12/2019
$96,00
Pending