Unmatched Claim Reconciliation

Congratulations! The following claims has successfully sent

Claim ID	Claim Type	Claim Date	Claim Amount
{{currentClaim?.claimId}}	{{currentClaim?.claimType}}	{{currentClaim?.claimDate}}	{{currentClaim?.claimAmount \| currency:'USD':true:'1.2-2'}}

Search Paramaters

Edit Claim Payment Information

Amount Paid	Paid Units	Line Number
{{selectedPaymentLineItem?.amountPaid \| currency:'USD':true:'1.2-2'}}	{{selectedPaymentLineItem?.paidUnits}}	{{selectedPaymentLineItem?.lineNumber}}

Claim Payments

	Fee Invoice	Claim ID	Date Paid	Amount Billed	Amount Paid	Recon Type	DRG Code	DRG Weight	Invoice Date	Resolution Status
	{{result?.feeInvoice}}	{{result?.claimId}}	{{result?.datePaid}}	{{result?.amoungBilled \| currency:'USD':true:'1.2-2'}}	{{result?.amountpaid \| currency:'USD':true:'1.2-2'}}	{{result?.reconType}}	{{result?.drgCcode}}	{{result?.degWeight}}	{{result?.invoiceDate}}	{{result?.resolutionStatus}}

Claim Line Items

Line #	Medical Code	Description	Service Date	Billed Amt.	Billed Units	Modifiers	Status
{{lineItem?.claimProcId}}	{{lineItem?.procCode}}	{{lineItem?.procCodeDesc}}	{{lineItem?.serviceDateFrom}}	{{lineItem?.billedAmount \| currency:'USD':true:'1.2-2'}}	{{lineItem?.billedUnits}}	{{lineItem?.modifier1}}	{{lineItem?.lineStatus}}

Payment Line Items

	Line #	Line Sequence	Amt. Billed	Amt. Paid	Paid Units	Service Date
	{{selected?.lineNumber}}	{{selected?.lineSequenceNumber}}	{{selected?.amountBilled \| currency:'USD':true:'1.2-2'}}	{{selected?.amountPaid \| currency:'USD':true:'1.2-2'}}	{{selected?.paidUnits}}	{{selected?.serviceDate}}

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