File INSURANCE_CLAIMS_YEAR_TO_DATE(355.5) Data List
| POLICY |
PATIENT |
BENEFIT YEAR BEGINNING ON |
DEDUCTIBLE MET? |
AMOUNT OF DEDUCTIBLE MET |
DEDUCTIBLE (INPT) MET? |
AMOUNT OF DEDUCTIBLE (INP) MET |
DEDUCTIBLE (OPT) MET? |
AMOUNT OF DEDUCTIBLE (OPT) MET |
AMT LIFETIME MAX USED (OPT) |
MH DEDUCTIBLE (INP) MET? |
AMOUNT OF MH (INP) DED MET |
MH DEDUCTIBLE (OPT) MET? |
AMOUNT OF MH (OPT) DED MET |
PRE-EXISTING CONDITIONS |
COORDINATION OF BENEFITS DATA |
PATIENT POLICY POINTER |
AMT. MH LIFET. MAX USED (INPT) |
AMT LIFETIME MAX USED (INPT) |
AMT MH LIFET MAX USED (OPT) |
DATE ENTERED |
ENTERED BY |
DATE LAST VERIFIED |
VERIFIED BY |
DATE LAST EDITED |
EDITED BY |
PERSON CONTACTED |
COMMENT - CLAIMS FILED |
CONTACT'S PHONE NUMBER |