| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| U:01/16/2013 |
Non-Par |
BS038 |
BCBS |
LA |
Office Of Group Benefits - Louisiana (Formerly 72087) |
Professional |
5010A1 |
All_Use |
Enrollment |
Claim Level Rejects Only |
|
Yes |
|
|
| U: 09/27/2012 |
Non-Par |
BS038 |
BCBS |
LA |
Blue Shield - Louisiana |
Professional |
5010A1 |
All_Use |
Enrollment |
Claim Level Rejects Only |
|
Yes |
|
|
| U:08/13/2012 |
Non-Par |
BS038 |
BCBS |
LA |
Blue Shield - Louisiana |
Remittance |
5010A1 |
All_Use |
Enrollment |
|
|
|
|
|
| |
Non-Par |
WK048 |
Comm |
|
Return to Work (RTW) |
Prof. Work Comp |
4010A1 |
All_Use |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK134 |
Commercial |
TX, MN |
Rhone-Poulenc,Inc. |
Prof. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK134 |
Commercial |
TX, MN |
Rhone-Poulenc,Inc. |
Inst. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK134 |
Commercial |
TX, MN |
Rhone-Poulenc,Inc. |
Auto |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX186 |
Commercial |
MN |
Ridgeview Medical Center |
Prof. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX186 |
Commercial |
MN |
Ridgeview Medical Center |
Inst. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX186 |
Commercial |
MN |
Ridgeview Medical Center |
Auto |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK135 |
Commercial |
TX, MN |
Rieth-Riley Construction Compa |
Prof. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK135 |
Commercial |
TX, MN |
Rieth-Riley Construction Compa |
Inst. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Trans |
WK135 |
Commercial |
TX, MN |
Rieth-Riley Construction Compa |
Auto |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX204 |
Commercial |
TX, MN |
RIO TINTO |
Prof. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX204 |
Commercial |
TX, MN |
RIO TINTO |
Inst. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX204 |
Commercial |
TX, MN |
RIO TINTO |
Auto |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX235 |
Commercial |
MN |
Riscomp Industries Inc |
Prof. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX235 |
Commercial |
MN |
Riscomp Industries Inc |
Inst. Work Comp |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|
| A: 04/06/2010 |
Non-Par |
WX235 |
Commercial |
MN |
Riscomp Industries Inc |
Auto |
4010A1 |
NPI_Required |
|
Claim Level Accept/Reject |
|
|
|
|