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picture1_Billing Format In Excel Free Download 31256 | Pudfdictionary2


picture2_Billing Format In Excel Free Download 31256 | Pudfdictionary2 picture3_Billing Format In Excel Free Download 31256 | Pudfdictionary2

 167x       Filetype XLSX       File size 0.05 MB       Source: www.tdi.texas.gov


File: Billing Format In Excel Free Download 31256 | Pudfdictionary2
SV1 Header Column Number Column Label Column Type DN# Encrypted Description 1 Bill Selection Date Date Bill Selection Date is a date field common to bill and bill ...

icon picture XLSX Filetype Excel XLSX | Posted on 08 Aug 2022 | 2 years ago

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...Sheet sv header column number label type dn encrypted description bill selection date is a field common to and line item records it usually the earliest of service on id uniquely identifies links items billing provider unique identification text assigned by specific within batch bills insurer this should never be reused except when sending submission quot for cancellations or replacing acknowledgements will refer accepted rejected professional reporting period start during which information sent was processed end fein yes federal carrier selfinsured assuming responsibility workers compensation claims postal code zip s business site claim administrator entity licensed allowed adjust name mailing processing facility transaction set purpose employer where employee employed at time injury physical city injured worker state twocharacter country threecharacter indicating address birth month year born day redacted gender indicates sex workermmaleffemaleuunknown marital status workerisinglekun...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 08 Aug 2022 | 2 years ago
										
										
Tag:
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Filetype: XLSX
										
File size: 0.05 MB
										
Views: 167x
										
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										Wan learn
											

												Wan learn