| Claim Adjustment Reason Code | Payer | Is Excluded | ID | Status |
|---|---|---|---|---|
| 1 - Deductable Amount | Health Net Inc.14 | 1 | Active | |
| A1 - Claim denied charge(s) | Farmers Inc-Medrisk (wc ALL STATES) | 2 | Active | |
| 1 - Deductable Amount | Health Net Inc.14 | 3 | Active | |
| A1 - Claim denied charge(s) | Farmers Inc-Medrisk (wc ALL STATES) | 4 | Active | |
| 1 - Deductable Amount | Health Net Inc.14 | 5 | Active | |
| A1 - Claim denied charge(s) | Farmers Inc-Medrisk (wc ALL STATES) | 6 | Active |
