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| Eligibility | Claim ID | Batch ID | MRN | Patient | Physician | Insurance | Type | Response Date/Time | Charge Amount | Rejection Reason |
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| Patient Name | MRN | Enc.No. | Claim ID | Claim Date | EDI Message | Insurance | Billed | Balance | Current Status | F/U Comments | Claim Status |
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| Check No | Check Date | Ins. Company | Check Amt | Un-applied Amt | Applied Amt | Entry Date | Force Applied Check | Deposit Date | Mode |
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| Last 3 Days |
| Encounter Date | Encounter No. | MRN | Patient Name | Physician Name | Copay Collected | Type of visit | Eligibility |
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| MRN | Patient Name | Enc.No. | Enc.Date | Physician Name | Insurance | Batch Id | Claim Id | Claim Date | Claim Amount |
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User | Subject | Patient | Type | Received |
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