Reject | Image | eIV | Patient Name | Subscriber ID | Insurance Co | Division | Created By | Created Date | Source | Patient Status |
---|---|---|---|---|---|---|---|---|---|---|
! | Zero, Patient M | 123456789 | Aetna BC/BS | Division I | TechAdmin One | 01/01/2013 11:35:19 AM | IVP | iEI | ||
# | One, Patient M | 123456789 | United Healthcare | Division I | TechAdmin Three | 01/01/2013 11:35:19 AM | IVP | iEI | ||
+ | Two, Patient M | 123456789 | Valley Medical | Division III | TechAdmin One | 01/01/2013 11:35:19 AM | IVP | iEI | ||
? | Three, Patient M | 123456789 | Healthcare Alliance | Division I | TechAdmin One | 01/01/2013 11:35:19 AM | IVP | iEI | ||
$ | Four, Patient M | 123456789 | Aetna BC/BS | Division II | TechAdmin Two | 01/01/2013 11:35:19 AM | IVP | iEI | ||
# | Five, Patient M | 123456789 | Healthmark POS | Division IV | TechAdmin Two | 01/01/2013 11:35:19 AM | IVP | iEI |