Chapter 7 Assignment.doc - Assignment 7 1 Claim Status Summary report a Insurance company number b Patient number c Patient name d Procedure date e

Chapter 7 Assignment.doc - Assignment 7 1 Claim Status...

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Assignment 7 1. Claim Status Summary report. a. Insurance company number b. Patient number c. Patient name d. Procedure date e. Procedure code f. Procedure description g. Procedure fee h. Date of claim submission i. Claim total j. Reimbursement from carrier k. Patient or balance remaining i. Group data by insurance company numbers ii. Subtotals by company iii. Grand totals for each numeric field 1. include printer spacing charts 2. mock-up report
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