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Charge Amount PC035 APCD Council Pharmacy Claims File Submission
Multiple versions Charge Amount MC062 Colorado Medical Claims File Submission
Multiple versions Charge Amount PC035 Colorado Pharmacy Claims File Submission
Charge Amount MC062 Connecticut Medical Claims File Submission
Charge Amount PC035 Connecticut Pharmacy Claims File Submission
Charge Amount DC037 Connecticut Dental Claims File Submission
Multiple versions Charge Amount MC062 Maine Medical Claims File Submission
Multiple versions Charge Amount PC035 Maine Pharmacy Claims File Submission
Multiple versions Charge Amount DC037 Maine Dental Claims File Submission
Charge Amount MC062 Minnesota Medical Claims File Submission
Charge Amount MC062 New Hampshire Medical Claims File Submission
Charge Amount PC035 New Hampshire Pharmacy Claims File Submission
Charge Amount DC037 New Hampshire Dental Claims File Submission
Charge Amount 62 Pennsylvania Medical Claims File Submission
Multiple versions Charge Amount MC062 Rhode Island Medical Claims File Submission
Multiple versions Charge Amount PC035 Rhode Island Pharmacy Claims File Submission
Charge Amount MC062 Tennessee Medical Claims File Submission
Charge Amount CHARGE Tennessee Medical File Submission
Charge Amount MC062 Utah Medical Claims File Submission
Charge Amount PC035 Utah Pharmacy Claims File Submission
Charge Amount MC062 Vermont Medical Claims File Submission
Charge Amount PC035 Vermont Pharmacy Claims File Submission
Charge Amount MC062 Virginia Medical Claims File Submission
Charge Amount PC035 Virginia Pharmacy Claims File Submission
Multiple versions Charge Amount MC062 Massachusetts Medical Claims File Submission
Multiple versions Charge Amount DC037 Massachusetts Dental Claims File Submission
Multiple versions Charge Amount PC035 Massachusetts Pharmacy Claims File Submission
Check Issue or EFT Effective Date MC017 Minnesota Medical Claims File Submission
Multiple versions ChemDep Benefit - Ambulatory QC015 Oregon Medical Eligibility File Submission
Multiple versions ChemDep Benefit - Day/Night QC014 Oregon Medical Eligibility File Submission
Multiple versions ChemDep Benefit - Inpatient QC013 Oregon Medical Eligibility File Submission
City 12 Utah Medical Eligibility File Submission
City Name PV018 Connecticut Provider File Submission
Multiple versions City Name PV018 Massachusetts Provider File Submission
Claim Adjudication Date 2330B DTP03 WHEN DTP01=573 62 Utah Medical Claims File Submission 837P
Claim Adjudication Date 2330B DTP03 WHEN DTP01=573 62 Utah Medical Claims File Submission 837I
Claim Adjustment Group Code 2320 CAS01 64 Utah Medical Claims File Submission 837P
Claim Adjustment Group Code 2320 CAS01 64 Utah Medical Claims File Submission 837I
Claim Adjustment Reason Code 2320 CAS02 65 Utah Medical Claims File Submission 837P
Claim Adjustment Reason Code 2320 CAS02 65 Utah Medical Claims File Submission 837I
Multiple versions Claim Coinsurance Days MC448 Rhode Island Medical Claims File Submission
Multiple versions Claim Control Number 15 Maryland Professional Services Fixed Format File Submission
Multiple versions Claim Control Number 15 Maryland Professional Services Variable Format File Submission
Multiple versions Claim Control Number 13 Maryland Institutional Services File Submission
Claim Control Number 14 Maryland Dental Services Fixed Format File Submission
Multiple versions Claim Final Bill Code MC449 Rhode Island Medical Claims File Submission
Claim Frequency Type Code (Type of Bill, Position 4) 2300 CLM05-3 44 Utah Medical Claims File Submission 837P
Claim Frequency Type Code (Type of Bill, Position 4) 2300 CLM05-3 45 Utah Medical Claims File Submission 837I
Multiple versions Claim ID MC004 Oregon Medical Claims File Submission
Multiple versions Claim ID PC004 Oregon Pharmacy Claims File Submission
Results 301 - 350 of 5577
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