We were unable to find a matching account for this ID. Would you like to create a new Audit with this ID?
There are multiple claims for this ID. Please choose the claim you'd like to use.
DOS From | DOS To | Bill Date | Payer | Patient Type | Total Charges | |
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1/1/2020 | 1/15/2020 | 1/17/2020 | MEDICARE PRO FEE | Other | $12.57 |
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1/1/2020 | 1/15/2020 | 1/17/2020 | MEDICARE | Outpatient | $5,123.98 |
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None: Do not populates claim data. |
There are multiple remits for this ID. Please choose the claim you'd like to use.
Bill Date | Payer | Patient Type | Total Charges | Denial Type | ||
---|---|---|---|---|---|---|
|
2/24/2020 | PALMETTO GBA | Other | $12.57 |
87
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit.
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2/24/2020 | PALMETTO GBA | Other | $12.57 |
487
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit.
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None: Do not populates remit data. |
There are multiple claims and remits for this ID. Please choose the claim and remit you'd like to use.
DOS From | DOS To | Bill Date | Payer | Patient Type | Total Charges | |
---|---|---|---|---|---|---|
|
1/1/2020 | 1/15/2020 | 1/17/2020 | MEDICARE PRO FEE | Other | $12.57 |
|
1/1/2020 | 1/15/2020 | 1/17/2020 | MEDICARE | Outpatient | $5,123.98 |
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None: Do not populates claim data. |
Bill Date | Payer | Patient Type | Total Charges | Denial Type | ||
---|---|---|---|---|---|---|
|
2/24/2020 | PALMETTO GBA | Other | $12.57 |
87
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit.
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|
2/24/2020 | PALMETTO GBA | Other | $12.57 |
487
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit.
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None: Do not populates remit data. |