Process Report
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The following is an example of an 'Process Report'  (*Feel free to PRINT this report)

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PROCESS REPORT FOR : SMITH, STEVEN, MD 07-15-94 11:43am

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The following claims were processed from TRANSMEDIC'S location on 07-15-94

Patient			Company			ID Number	Total

ANSEL, BILLY B METROPOLITAN LIFE INS 447759091 145.00

Code From To Diag Pos Tos Amount

99203 07-11-94 07-11-94 V723 11 1 125.00

99000 07-11-94 07-11-94 V723 11 1 20.00


Patient			Company			ID Number	Total

BARRY, CARRI C BLUE CROSS OF CALIF 473-99-0579 145.00

Code From To Diag Pos Tos Amount

99214 07-12-94 07-12-94 7893 11 1 80.00

99000 07-12-94 07-12-94 7893 11 1 20.00

81005 07-12-94 07-12-94 7893 11 5 20.00

84703 07-12-94 07-12-94 7893 11 5 25.00


Patient			Company			ID Number	Total

CHARESE, BETTY MEDICARE 238829602 85.00

Code From To Diag Pos Tos Amount

99214 07-11-94 07-11-94 6119 11 1 85.00

SECONDARY INFORMATION : BLUE CROSS

TransMedic automatically calculates secondary OCNA codes for Medicare.