5
Batch Print EOR (sans cover page) Report
This report does not include a cover page. Each EOR is on its own page in the report.
Provider
Who provided care for the claimant.
Svc From
When provider care was first provided.
Svc To
When provider care was last provided.
Admin Paid
Amount paid by the third-party administrator.
Adjustments
Any adjustments to the claim.
Allowable
How much of the reimbursement request is allowed.
Reimb %
The percent of reimbursement request that is allowed.
Reimbursable
Reimbursable amount.