Versions Compared

Old Version 14

changes.mady.by.user Kristafanie Somers

Saved on

compared with

New Version 15

changes.mady.by.user Kristafanie Somers

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Panel
bgColor#F4F5F7

Content

Multiexcerpt
MultiExcerptNamecontent

Date

Description

Amount

Original Dispute Amount

New Dispute Amount

<Date>

<Descriptor>

<Amount>

<Disputed Amount>

<Amount>

We have determined that the amount of the dispute was incorrect and have adjusted it as shown above.

Panel
bgColor#F4F5F7

Sample

Multiexcerpt
MultiExcerptNamesample

Date

Description

Amount

Original Dispute Amount

New Dispute Amount

06/25/2024

http://WWW.CAREMARK.COM 888-892-7227 IL

$397.00

$397.00

$597.00

We have determined that the amount of the dispute was incorrect and have adjusted it as shown above.

...