Payer Batch Totals Data File
B|9999|123456|123456|CHI03|9999|20080617|222222|20080422|||1225557890|||||||||||||||||2074|ACCEPTED|000002||000002| 00000999.54|000000|||||
PAYOR REPORTH99RAR04 BATCH DETAIL CONTROL LISTING D|123456-99|SMITH|BRIAN||20061105|20061105|
00000000000000999.00|XXBB12345XX|1354578915651|0632599999999||
D|234567-99|SAY|ELIZABETH|M|20061015|20061015| 00000000000000999.00|FFF66666CCC|
5432154321245|0632514565656|| D|345678-99|HI|LONG|M|20061010|20061010| 00000000000000222.00|
3456789098|4444444445555|6767676767676||141414 D|456789-99|SMITH|RAYMOND||20061112|20061112|
00000000000000555.00|WWWLLLDDD23|4564545454545|0632578787878||68686868686868 D|
678902454545|SIMMONS|NANCY|B|20061109|20061109| 00000000000008989.00|187767676||0632545454545||
B|9999|123456|123456|CHI03|9999|20080617|676767|20020088|||1535656565|||||||||||||||||
3926|ACCEPTED|000022||000022| 00003333.88|000000|||||PAYOR REPORTH99RAR04 BATCH DETAIL CONTROL LISTING B|
9999|123456|123456|CHI03|9999|20080617|111815|20020088|||1700801966|||||||||||||||||5079|
ACCEPTED|000015||000015| 00003920.78|000000|||||IL MEDICARE H99RAR04 BATCH
DETAIL CONTROL LISTING D|123456-99|SMITH|BRIAN||20061105|20061105|
00000000000000999.00|XXBB12345XX|1354578915651|0632599999999||
D|234567-99|SAY|ELIZABETH|M|20061015|20061015| 00000000000000999.00|
FFF66666CCC|5432154321245|0632514565656||
Updated 8 months ago