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Specific Claims TPA Turnaround

Effective

When the policy became effective.

Policyholder

Policy holder name.

Policy No

Policy number.

TPA Name

Policy third party administrator name.

Claimant

Who made the claim.

Init Claim

Whether the claim is an initial claim.

Rec Date

When the claim was received.

Created Date

When the claim was put in the system.

Assigned Date

When the claim was assigned.

Auditor Name

Who is auditing the claim.

Created By Name

Who entered the claim into the system.

Processed Date

When the claim was processed.

Original EOR Date

Date of original explanation of reimbursement.

Proc Days

Days to process the claim.

Claim Status

Status of the claim.

Final EOR Date

Date of the final explanation of reimbursement.