Professional Claim Entry
Gender
Undefined
Male
Female
Date of Birth
Claim Type
Commercial
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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Version 3.8.0