FM:ProcessClaims Copy2

ClaimAmountBilled	ClaimCreationTimeStamp	ClaimDOS_Formatted	ClaimFileExported	ClaimLocator	ClaimMRN	EDI837DocumentExportTimeStamp	PatientControlNumber
$118.64	06/21/2020 06:13:54	03/05/2020	X	CI\|10000001\|A1	39193	06/21/2020 06:15:10	10000001P500039193C1
$219.14	06/21/2020 06:22:56	03/05/2020	X	BL\|10000002\|A1	39194	05/11/2021 10:57:37	10000002P500039194B1
$312.73	06/21/2020 06:23:09	03/17/2020	X	CI\|10000004\|A1	39227	06/21/2020 06:26:11	10000004P500039227C1
$344.61	06/21/2020 06:23:17	04/02/2020	X	CI\|10000005\|A1	39240	06/21/2020 06:26:13	10000005P500039240C1
$38.91	06/21/2020 06:24:39	04/06/2020	X	CI\|10000007\|G1	133	06/21/2020 06:26:20	10000007P500000133C1
$194.61	06/21/2020 06:25:10	04/09/2020	X	BL\|10000009\|A1	39245	07/07/2020 19:12:36	10000009P500039245B1
$344.61	06/21/2020 06:25:34	04/10/2020	X	BL\|10000010\|A1	39249	06/24/2020 17:54:58	10000010P500039249B1
$114.87	06/22/2020 08:49:38	04/10/2020	X	CI\|10000011\|C1	36737	06/22/2020 09:15:29	10000011P500036737C1
$194.61	06/22/2020 08:50:22	04/10/2020	X	CI\|10000012\|A1	39248	06/22/2020 09:17:03	10000012P500039248C1
$131.11	06/22/2020 08:50:42	04/15/2020	X	BL\|10000014\|A1	39250	06/22/2020 09:17:08	10000014P500039250B1
$131.11	06/22/2020 08:50:49	04/15/2020	X	CI\|10000015\|A1	526	06/22/2020 09:17:11	10000015P500000526C1
$344.61	06/22/2020 08:51:00	04/22/2020	X	CI\|10000016\|A1	39252	06/22/2020 09:17:14	10000016P500039252C1
$131.11	06/22/2020 08:51:19	04/17/2020	X	CI\|10000017\|A1	39253	06/22/2020 09:17:17	10000017P500039253C1
$264.87	06/22/2020 08:51:32	04/22/2020	X	CI\|10000018\|C1	31459	06/22/2020 09:17:20	10000018P500031459C1
$114.87	06/22/2020 08:51:39	04/23/2020	X	CI\|10000019\|B1	35143	06/22/2020 09:17:23	10000019P500035143C1
$95.72	06/22/2020 08:51:45	04/24/2020	X	BL\|10000020\|E1	27218	06/22/2020 09:17:26	10000020P500027218B1
$95.72	06/22/2020 08:51:50	04/28/2020	X	CI\|10000021\|C1	18413	06/22/2020 09:17:28	10000021P500018413C1
$95.72	06/22/2020 08:51:55	04/29/2020	X	CI\|10000022\|B1	14238	06/22/2020 09:17:31	10000022P500014238C1
$95.72	06/22/2020 08:52:03	04/29/2020	X	CI\|10000023\|C1	17757	06/22/2020 09:17:36	10000023P500017757C1
$95.72	06/22/2020 08:52:09	04/29/2020	X	CI\|10000024\|D1	15244	06/22/2020 09:17:39	10000024P500015244C1
$536.34	06/22/2020 08:52:18	04/30/2020	X	CI\|10000025\|A1	39262	06/22/2020 09:17:42	10000025P500039262C1
$150	06/22/2020 08:52:26	05/01/2020	X	BL\|10000026\|A1	39264	06/22/2020 09:17:44	10000026P500039264B1
$578.31	06/22/2020 08:52:34	05/04/2020	X	CI\|10000027\|E1	22655	06/22/2020 09:17:47	10000027P500022655C1
$344.61	06/22/2020 08:52:41	05/04/2020	X	CI\|10000028\|A1	39265	06/22/2020 09:17:50	10000028P500039265C1
$344.61	06/22/2020 08:52:55	05/04/2020	X	BL\|10000030\|A1	39266	06/22/2020 09:17:56	10000030P500039266B1
$114.87	06/22/2020 08:53:02	05/04/2020	X	CI\|10000031\|C1	26774	06/22/2020 09:17:59	10000031P500026774C1
$344.61	06/22/2020 08:53:18	05/06/2020	X	CI\|10000033\|A1	39267	06/22/2020 09:18:04	10000033P500039267C1
$344.61	06/22/2020 08:53:24	05/06/2020	X	CI\|10000034\|A1	39269	06/22/2020 09:18:06	10000034P500039269C1
$95.72	06/22/2020 08:53:30	05/07/2020	X	CI\|10000035\|F1	24294	06/22/2020 09:18:09	10000035P500024294C1
$627.97	06/22/2020 08:53:47	05/07/2020	X	CI\|10000037\|A1	39271	06/22/2020 09:18:15	10000037P500039271C1
$344.61	06/22/2020 08:53:54	05/08/2020	X	BL\|10000038\|A1	39272	06/22/2020 09:18:18	10000038P500039272B1
$316.55	06/22/2020 08:54:03	05/08/2020	X	CI\|10000039\|F1	12720	06/22/2020 09:18:21	10000039P500012720C1
$526.23	06/22/2020 08:54:39	05/08/2020	X	BL\|10000040\|A1	39273	06/22/2020 09:18:23	10000040P500039273B1
$150	06/22/2020 08:55:02	05/12/2020	X	CI\|10000043\|A1	39276	06/22/2020 09:18:32	10000043P500039276C1
$150	06/22/2020 08:55:07	05/12/2020	X	CI\|10000044\|A1	39277	06/22/2020 09:18:36	10000044P500039277C1
$150	06/22/2020 08:55:13	05/12/2020	X	CI\|10000045\|A1	39278	06/22/2020 09:18:39	10000045P500039278C1
$150	06/22/2020 08:55:20	05/12/2020	X	CI\|10000046\|A1	39279	06/22/2020 09:18:41	10000046P500039279C1
$344.61	06/22/2020 08:55:28	05/12/2020	X	CI\|10000047\|A1	39280	06/22/2020 09:18:44	10000047P500039280C1
$344.61	06/22/2020 08:55:36	05/12/2020	X	CI\|10000048\|A1	39281	06/22/2020 09:18:48	10000048P500039281C1
$344.61	06/22/2020 08:55:49	05/12/2020	X	CI\|10000050\|A1	39284	06/22/2020 09:18:53	10000050P500039284C1
$344.61	06/22/2020 08:55:56	05/12/2020	X	CI\|10000051\|A1	39285	06/22/2020 09:18:56	10000051P500039285C1
$297.77	06/22/2020 08:56:04	05/12/2020	X	CI\|10000052\|A1	39286	06/22/2020 09:18:59	10000052P500039286C1
$344.61	06/22/2020 08:56:12	05/13/2020	X	CI\|10000053\|A1	39287	06/22/2020 09:19:03	10000053P500039287C1
$344.61	06/22/2020 08:56:18	05/13/2020	X	CI\|10000054\|A1	39289	06/22/2020 09:19:07	10000054P500039289C1
$778.71	06/22/2020 09:01:15	05/13/2020	X	CI\|10000055\|A1	39290	06/22/2020 09:19:10	10000055P500039290C1
$344.61	06/22/2020 09:01:56	05/14/2020	X	CI\|10000056\|A1	39288	06/22/2020 09:19:13	10000056P500039288C1
$95.72	06/22/2020 09:04:05	05/15/2020	X	CI\|10000060\|B1	27612	06/22/2020 09:19:27	10000060P500027612C1
$264.87	06/22/2020 09:04:27	05/15/2020	X	CI\|10000061\|D1	25422	06/22/2020 09:19:31	10000061P500025422C1
$95.72	06/22/2020 09:04:37	05/15/2020	X	BL\|10000062\|I1	535	06/22/2020 09:19:34	10000062P500000535B1
$506.17	06/22/2020 09:05:27	05/18/2020	X	CI\|10000063\|B1	20979	06/22/2020 09:19:36	10000063P500020979C1

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