Claim #1
Claim #1 Payment
Claim #2
Claim #2 Payment
Truly Miscellaneous
100

Member: J1265519501 has this many claims on file for 2020.

What is 15?

100

This claim processed on this date.

What is 3/6/2020?

100

This is the DOS for claim number: 200109E03641.

What is 1/2/2020?

100

You select this screen/tab to see the payment cleared date.

What is Svc Acct LookUp?

100

This is the name of our company's social networking site.

What is Yammer?

200

On 2/14/2020 Judith Myers saw this provider.

Who is Dr. SEAN W SMOLENYAK?

200

The provider received this type of payment for this claim.

What is EFT?

200

This is the modifier filed on this claim.

What is RT?

200

This claim paid to this provider group.

What is RALEIGH ORTHOPAEDICS CLC?

200
North Carolina's Stay at Home quarantine order was extended to this date.

What is 5/8/2020?

300

This is the CPT code filed on line #2 on claim number: 200227E07328.

What is 92133?

300

This is the number of claims paid to the provider on this check/EOP.

What is 1?

300

This is the referring provider for this claim.

Who is Dr. THOMAS C CURTIS?

300

This is the practice number for this group.

What is 5719?

300

This person gave the Zoom tutorial on Day 1 of training.

Who is Kevin Dixon?

400

This is the secondary diagnosis code on this claim.

What is E11.9?

400

Payment for this claim went to this group.

What is The Kelly Eye Center?

400

This is the patient's account number.

What is 1174869-01?

400

This is the financial address for this group.

What is PO BOX 2509 GARNER, NC 27529?

400

This was Wednesday's spirit theme day.

What is Pajama Day?

500

This is the location code for this claim.

What is 11 - office?

500

This is the financial address for this provider group.

What is 8851 ELLSTREE LN STE 200 RALEIGH, NC 27617?

500

This claim processed towards this benefit.

What is $35.00 specialist copay?

500

This was a bulk check payment.

What is no?

500

This was Tabatha's Zoom video background on Day 1.

What is Disney World?

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