Reason : Non-covered charge(s). At least one Remark Code must be provided

Trans#	Patient Name	Submit	Resp	Provider	Payor	Day
28715	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	132
28716	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	132
28715	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	132
28715	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	57
28715	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	132
28715	Jason, Carl	07/23/2016	Primary	Stephen Conversion, Cregar	Aetna	135
28716	Mark, Grand	07/23/2016	Primary	Julie Conversion, Laughlin	Cigna	101
28716	Mark, Grand	07/23/2016	Primary	Julie Conversion, Laughlin	Cigna	132
28716	Mark, Grand	07/23/2016	Primary	Julie Conversion, Laughlin	Cigna	96
28717	Bob Smith	07/23/2016	Primary	Annette Dejesus	United Health Care	88
28717	Bob Smith	07/23/2016	Primary	Annette Dejesus	United Health Care	132
28715	Bob Smith	07/23/2016	Primary	Annette Dejesus	United Health Care	141
28717	Bob Smith	07/23/2016	Primary	Annette Dejesus	United Health Care	202