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Claims Submission Log Query Feed (Excel Only)
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Effective Date
Policy effective date.
Policyholder
Who holds the policy.
Contract No
Contract Number.
Claimant
Who made the claim.
Received Date
When the claim was received.
Submission Type
What kind of claim is being submitted.
Initial
Whether or not this is an initial claim.
Status
Status on the claim.
Amt. Requested
Claim request amount.
Auditor
Who will audit the claim.
Primary Diagnosis
Primary diagnosis precipitating the claim.
Diagnosis Date
When the diagnosis precipitating the claim was made.
Date Last Charge Incurred
When the last charge on the date was incurred.
Notice Type
Claim notice type.
Created By
Who entered the claim into the system.
Orig. EOR Date
Original explanation of reimbursements date.