Specific Manager Approval Reimbursement Requests

Select the desired sorting option by checking the corresponding box. The sample shows the report sorted by office.

Received

When the claim was received

Policyholder

Policy holder name.

Effective

When the policy became effective.

Claimant

Who made the claim.

Office

Office with jurisdiction over the claim.

Reimbursed

Amount reimbursed on the claim.

Primary Diagnosis

Primary patient diagnosis (code and description).