4
Batch Print EOR Report
This report includes a cover page (not shown in the sample). 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.