Household Finance DemoDSynthetic plan statements matched to payments · claim service dates Jan 1 – Oct 22.
$240.00 of patient responsibility was paid from tracked cards and bank accounts with no HSA distribution matched to it ($240.00 in 2026).
Synthetic patient responsibility without a matched HSA distribution.
Separately, $120.00 of healthcare spend went straight on the HSA card at the point of service, and claims the plan paid in full or that cost nothing are excluded from both figures.
Claim-level detail is parsed from 3 of 3 synthetic statement documents on file; the other 0 have summaries only. 3 of 3 summaries passed the arithmetic check and feed the totals; unvalidated ones are excluded. Synthetic coverage note. Separate benefit categories may not generate a statement in the same fixture.
| Year | Billed | Allowed | Plan paid | Responsibility (EOB) | Claims | Paid by card | Paid from HSA | No payment found |
|---|---|---|---|---|---|---|---|---|
| 2026 | $1,200.00 | $980.00 | $740.00 | $240.00 | 3 | $160.00 | $80.00 | 0 · $0.00 |
| Service date | Patient | Provider | Type | You pay | Status | Paid via |
|---|---|---|---|---|---|---|
| Mar 14 | Daniel | Cedar Grove Clinic | Primary care | $120.00 | Matched | Bluebonnet card · Mar 15 |
| Jun 8 | Maya | Cedar Grove Clinic | Primary care | $80.00 | Matched | Family HSA · Jun 9 |
| Sep 2 | Child | Cedar Grove Clinic | Pediatric care | $40.00 | Matched | Bluebonnet card · Sep 3 |
| Service date | Provider | You pay |
|---|
The matcher searched HSA distributions and every ledger account for the exact patient-responsibility amount. No hit can mean the charge was paid another way, is still unpaid, or the amount was billed differently.
| Date | Charge | Type | Amount |
|---|
Healthcare charges on tracked accounts inside the coverage window that no parsed claim payment points at. An unmatched charge can mean a missing claim or a billing error — or spend that was never claimable, a claim inside one of the summary-only EOBs, or the second half of a split payment.