Professional Claim Entry
Facility Claim Entry
Gender
Undefined
Male
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Date of Birth
Claim Type
Medicare ASC
Medicare DME
Medicare
Commercial ASC
Commercial DME
Commercial
Medicaid ASC
Medicaid DME
Medicaid
Line
Beg DOS
End DOS
Procedure
Modifier
Code Type
Diagnosis
Units
POS
Specialty
Amount
1
ICD-10
ICD-9
2
ICD-10
ICD-9
3
ICD-10
ICD-9
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