 |
 Outstanding Claims Report for Member: 433987 |
 |
Claim ID  |
Claim Amount |
| A32D | $23323.00 |
| H45Y | $34444.23 |
| AF34 | $4554.54 |
| EA65 | $43077.56 |
| TOTAL AMOUNT | $4344343.44 |
| MEMBER ID | ID SEARCH | |
| SITE CODE |
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| CLAIM RATE TYPE |