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Due Date:
02/01/2017
End Date:
02/28/2017
Invoice Date:
01/15/2017
Invoice Status:
Past Due
F
# of Subscribers:
25
Total Billed:
$883.50
Total Received:
$650.00
Subsidy:
$0.00
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Total Count: 14
Reorder
#
UM Program ID
UM Program Name
Effective date
Termination Date
ASO1 - ASO Product Claim UM Match Ruless
HMO5 - HMO5 - CLMR Prefix
HMO1 - HMO Product Claim UM Matching Rules
JS01 - Janani Test CLMR Prefix - Updated
JS02 - Janani's CLMR prefix
MSD - Monisha's CLMR Prefix for services
MSDC - Monisha's Prefix for covering provicer
MSDE - Monisha's prefix for enc processing
MSDR - Monisha's CLMR prefix for Hospital Inpatient
NEWP - NEW PREFIX FOR TEST
POS1 - POS Product Claim UM Match Ruless
SB01 - SB CLMR PREFIX
SB02 - Sujathas CLMR
SB20 - SB 20 Programs Test
