5
Specific Claim Denied Charges
Select the desired sorting option by checking the corresponding box. The sample shows the report sorted by effective date.
Effective
When the policy became effective.
Policyholder
Policy holder name.
Claimant
Who made the claim.
Administrator
Who administers the policy.
Amount
Claim amount.
Date
Audit date.
Reason
Denial reason.
Auditor
Who audited the claim.