Provider Information
100
| Hold Name | Location | Insurance Class | Insurance Code | Claim Delay Reason | Date of Service Range | Status |
|---|---|---|---|---|---|---|
| WebPTSetting | 1 Selected | 1 Selected | 1 Selected | No Authorization | 07/20/2020 - 07/22/2020 | Active |
| Setting Name | Location | Insurance Class | Insurance Code | Individual Number |
Individual Qualifier |
Group Number |
Group Qualifier |
Tax ID Number | SSN/EIN | Is Active |
|---|---|---|---|---|---|---|---|---|---|---|
| WebPTSetting | 1 Selected | 1 Selected | 1 Selected | 5445766 | NONE | 67564 | NONE | 8666 | SSN | Yes |