Home Direct Billing Reimbursement Import Payment Date

Claim Validate Date

Claim Validate Date

Claim Payment Date

Claim Payment Date

Claim ID

Claim ID

LOT No

LOT No

Claim Sent Date

Claim Sent Date

No.	Result	LOT No	Claim ID (Policy No)	Patient Name (ID)	Validate Date	Sent Date	Payment Date	Payment Update By
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