Split (1)

train · 1.01M rows

BillingID int64 1 1M	SubmissionDate stringdate 2023-01-01 00:00:00 2025-06-06 00:00:00	RandomNote stringclasses 13 values	ConstantFlag stringclasses 1 value	UnrelatedMetric float64 0 100	EmptyColumn float64	ProcedureID int64 1 5	FacilityID int64 1 4	InsuranceID int64 1 5	PatientID int64 1 10k	PhysicianID int64 3 991	ClaimMetaID int64 1 100	BilledAmount float64 -9,563.93 10k	ApprovalStatus stringclasses 3 values	RejectionReason stringclasses 6 values	FinalPaymentDate stringdate 2023-01-06 00:00:00 2025-06-06 00:00:00 ⌀	CollectedAmount float64 0 10k	PaymentChannel stringclasses 4 values	ClaimStatus stringclasses 2 values	Age float64 0 100 ⌀	Gender stringclasses 2 values	Location stringclasses 8 values	InsuranceCompany stringclasses 5 values	ProcedureDesc stringclasses 5 values	FacilityName stringclasses 4 values	PhysicianName stringclasses 573 values	ClaimType stringclasses 3 values	ClaimChannel stringclasses 4 values	ReferralSource stringclasses 3 values	ServiceLine stringclasses 4 values
1	2023-12-07	Deductible not met by patient	UNUSED	64.851287	null	2	3	4	5,626	273	32	200.16	Approved	null	2024-01-03	150.03	Credit Card	Paid	43	Male	Ohio	Blue Cross	X-Ray	Health Center A	Ariana Chavez	Inpatient	Online	Referral	Primary Care
2	2025-03-20	Deductible not met by patient	UNUSED	81.673252	null	4	2	3	4,089	137	9	100	Approved	null	2025-03-30	87.39	Online Portal	Paid	67	Male	Pennsylvania	UnitedHealth	Blood Test	City Clinic	Victor Cox	Inpatient	Mail	Walk-in	Pediatrics
3	2024-10-24	UNUSED	UNUSED	62.487389	null	4	2	1	1,233	677	45	100	Rejected	Incorrect Patient Info	null	0	null	Submitted	43	Male	Illinois	Aetna	Blood Test	City Clinic	Mary Gonzalez	Outpatient	EDI	Walk-in	Surgery
4	2023-11-13	Coinsurance applied	UNUSED	46.045685	null	4	1	1	66	900	24	100	Approved	null	2023-11-18	80.04	Credit Card	Paid	72	Male	Texas	Aetna	Blood Test	General Hospital	Julia Cobb	Outpatient	EDI	Walk-in	Primary Care
5	2024-03-30	Deductible not met by patient	UNUSED	48.992864	null	2	3	3	1,453	19	52	163.48	Approved	null	2024-04-13	148.32	Credit Card	Paid	49	Female	Texas	UnitedHealth	X-Ray	Health Center A	Nicole Hanson	Emergency	EDI	Online Booking	Primary Care
6	2025-02-04	Non-covered services reduced payment	UNUSED	57.018477	null	2	1	3	5,779	233	34	191.11	Approved	null	2025-03-02	155.14	Online Portal	Paid	45	Male	Georgia	UnitedHealth	X-Ray	General Hospital	Jonathan Brooks	Outpatient	Online	Walk-in	Primary Care
7	2025-01-03	UNUSED	UNUSED	41.582512	null	4	2	1	8,396	930	30	100	Rejected	Missing Documentation	null	0	null	Submitted	62	Male	Pennsylvania	Aetna	Blood Test	City Clinic	Jennifer Melton	Outpatient	Online	Online Booking	Cardiology
8	2024-09-15	Payer downcoded procedure	UNUSED	55.250961	null	2	1	1	531	137	10	190.86	Approved	null	2024-10-08	173.12	Online Portal	Paid	57	Male	Pennsylvania	Aetna	X-Ray	General Hospital	Victor Cox	Inpatient	Fax	Referral	Primary Care
9	2023-08-20	UNUSED	UNUSED	10.779065	null	3	1	3	4,537	447	86	349.48	Pending	null	null	0	null	Submitted	49	Male	California	UnitedHealth	CT Scan	General Hospital	Michael Duran	Outpatient	Mail	Referral	Surgery
10	2025-02-12	Non-covered services reduced payment	UNUSED	9.704747	null	2	1	3	3,387	761	59	196.94	Approved	null	2025-03-07	171.01	Credit Card	Paid	28	Female	Texas	UnitedHealth	X-Ray	General Hospital	Michael Roberts	Outpatient	Mail	Walk-in	Pediatrics
11	2024-02-10	Authorization not obtained	UNUSED	19.095904	null	4	2	5	8,164	777	48	100	Approved	null	2024-02-15	95.95	Credit Card	Paid	44	Female	Illinois	Kaiser	Blood Test	City Clinic	Lisa Garcia	Emergency	EDI	Online Booking	Cardiology
12	2025-01-23	Coinsurance applied	UNUSED	21.63981	null	4	1	2	1,589	221	55	100	Approved	null	2025-02-09	84.38	Credit Card	Paid	28	Male	Illinois	Cigna	Blood Test	General Hospital	Kevin Saunders	Emergency	Online	Referral	Surgery
13	2024-11-03	Non-covered services reduced payment	UNUSED	7.975344	null	4	2	2	5,350	593	29	100	Approved	null	2024-11-24	92.73	Online Portal	Paid	45	Female	Ohio	Cigna	Blood Test	City Clinic	Tara Munoz	Outpatient	EDI	Referral	Pediatrics
14	2023-12-30	Medical necessity not documented	UNUSED	0.824285	null	3	3	2	7,319	276	77	601.88	Approved	null	2024-02-03	579.31	Online Portal	Paid	52	Male	null	Cigna	CT Scan	Health Center A	Eric Watson	Inpatient	EDI	Walk-in	Primary Care
15	2023-11-06	Timely filing limit exceeded	UNUSED	1.473065	null	2	1	2	2,027	613	54	237.96	Approved	null	2023-11-29	218.79	Bank Transfer	Paid	81	Male	Illinois	Cigna	X-Ray	General Hospital	Dr. Maria Taylor	Outpatient	EDI	Walk-in	Cardiology
16	2023-08-02	Deductible not met by patient	UNUSED	22.3074	null	2	1	1	2,244	363	56	100	Approved	null	2023-08-15	89.48	Online Portal	Paid	13	Female	California	Aetna	X-Ray	General Hospital	Robert Sandoval	Outpatient	EDI	Referral	Pediatrics
17	2023-12-08	UNUSED	UNUSED	22.420079	null	3	2	5	9,848	804	17	499.61	Rejected	Missing Documentation	null	0	null	Submitted	50	Female	Pennsylvania	Kaiser	CT Scan	City Clinic	Wendy Gomez	Outpatient	EDI	Walk-in	Cardiology
18	2023-09-05	Non-covered services reduced payment	UNUSED	59.76998	null	4	1	2	5,332	299	22	100	Approved	null	2023-10-04	95.11	Online Portal	Paid	39	Female	California	Cigna	Blood Test	General Hospital	Jose Wells	Inpatient	Online	Online Booking	Primary Care
19	2024-10-14	UNUSED	UNUSED	4.834114	null	2	3	1	2,371	378	90	100	Pending	null	null	0	null	Submitted	41	Female	Illinois	Aetna	X-Ray	Health Center A	Adrian Liu	Inpatient	EDI	Walk-in	Surgery
20	2024-10-01	UNUSED	UNUSED	8.244373	null	4	3	3	3,345	42	4	100	Rejected	Missing Documentation	null	0	null	Submitted	25	Male	California	UnitedHealth	Blood Test	Health Center A	Daniel Savage DDS	Emergency	Mail	Walk-in	Primary Care
21	2024-09-22	UNUSED	UNUSED	12.605942	null	2	2	5	7,371	111	89	184.65	Rejected	Incorrect Patient Info	null	0	null	Submitted	49	Female	California	Kaiser	X-Ray	City Clinic	Mr. Eric Morales	Outpatient	EDI	Referral	Primary Care
22	2024-10-31	Coinsurance applied	UNUSED	18.594976	null	4	4	4	7,260	588	67	100	Approved	null	2024-11-27	75.67	Credit Card	Paid	94	Male	Georgia	Blue Cross	Blood Test	Metro Hospital	Kelly Johnson	Outpatient	EDI	Walk-in	Primary Care
23	2025-02-19	Billed amount exceeds allowed amount	UNUSED	49.912293	null	1	1	5	7,056	675	89	803.65	Approved	null	2025-03-28	750.87	Bank Transfer	Paid	10	Male	California	Kaiser	MRI	General Hospital	Miranda Williams	Outpatient	EDI	Referral	Primary Care
24	2025-04-19	Non-covered services reduced payment	UNUSED	0.719604	null	4	1	1	8,097	447	39	-100	Approved	null	2025-05-08	83.7	Bank Transfer	Paid	68	Male	Ohio	Aetna	Blood Test	General Hospital	Michael Duran	Outpatient	EDI	Walk-in	Surgery
25	2023-11-25	Deductible not met by patient	UNUSED	23.094706	null	2	1	4	7,880	403	58	149.99	Approved	null	2023-12-18	123.23	Online Portal	Paid	52	Male	Georgia	Blue Cross	X-Ray	General Hospital	Elijah Kennedy	Outpatient	Online	Walk-in	Cardiology
26	2024-09-23	UNUSED	UNUSED	29.803007	null	2	4	3	8,976	142	68	153.25	Rejected	Invalid Insurance	null	0	null	Submitted	26	Female	Georgia	UnitedHealth	X-Ray	Metro Hospital	Christopher Little	Outpatient	Online	Walk-in	Primary Care
27	2023-05-21	Coinsurance applied	UNUSED	25.854029	null	4	2	2	3,095	447	8	100	Approved	null	2023-06-10	95.68	Cheque	Paid	27	Female	Florida	Cigna	Blood Test	City Clinic	Michael Duran	Outpatient	EDI	Walk-in	Cardiology
28	2023-07-19	Full payment received	UNUSED	72.750563	null	2	1	5	507	639	66	147.33	Approved	null	2023-08-05	147.33	Online Portal	Paid	33	Male	Georgia	Kaiser	X-Ray	General Hospital	Amanda Henderson	Inpatient	EDI	Online Booking	Cardiology
29	2024-11-08	UNUSED	UNUSED	93.144716	null	4	1	4	8,785	672	95	100	Pending	null	null	0	null	Submitted	20	Male	Ohio	Blue Cross	Blood Test	General Hospital	Kristie James	Emergency	Online	Referral	Primary Care
30	2024-07-10	UNUSED	UNUSED	77.608055	null	4	1	4	3,539	691	34	100	Rejected	Procedure Not Covered	null	0	null	Submitted	44	Female	Pennsylvania	Blue Cross	Blood Test	General Hospital	Michael Holden	Outpatient	Online	Walk-in	Primary Care
31	2025-01-15	UNUSED	UNUSED	56.888541	null	4	4	5	4,918	36	7	100	Rejected	Missing Documentation	null	0	null	Submitted	37	Male	Illinois	Kaiser	Blood Test	Metro Hospital	Justin Johnson DDS	Outpatient	Fax	Walk-in	Primary Care
32	2024-05-23	UNUSED	UNUSED	81.419736	null	1	2	3	4,804	403	72	880.92	Rejected	Authorization Required	null	0	null	Submitted	30	Male	Georgia	UnitedHealth	MRI	City Clinic	Elijah Kennedy	Outpatient	Fax	Walk-in	Primary Care
33	2023-07-29	Payer downcoded procedure	UNUSED	57.324686	null	5	1	4	2,899	416	16	4,291.43	Approved	null	2023-10-11	3,020.65	Bank Transfer	Paid	39	Female	Texas	Blue Cross	Surgery	General Hospital	Frank Stuart	Inpatient	Fax	Walk-in	Surgery
34	2025-03-25	Timely filing limit exceeded	UNUSED	81.799106	null	4	2	4	7,804	313	98	100	Approved	null	2025-04-22	83.77	Bank Transfer	Paid	48	Male	Texas	Blue Cross	Blood Test	City Clinic	Deanna Wright	Outpatient	EDI	Walk-in	Surgery
35	2023-05-28	Authorization not obtained	UNUSED	54.42065	null	4	4	5	1,621	177	13	100	Approved	null	2023-06-13	90.18	Bank Transfer	Paid	47	Female	Florida	Kaiser	Blood Test	Metro Hospital	Caroline Rodriguez	Outpatient	Fax	Walk-in	Surgery
36	2023-10-11	UNUSED	UNUSED	87.575785	null	2	3	2	2,378	892	60	185.25	Rejected	Incorrect Patient Info	null	0	null	Submitted	18	Female	California	Cigna	X-Ray	Health Center A	Daniel Mckenzie	Emergency	EDI	Referral	Primary Care
37	2024-01-12	UNUSED	UNUSED	44.147682	null	4	3	3	7,941	52	71	100	Rejected	Procedure Not Covered	null	0	null	Submitted	5	Female	Florida	UnitedHealth	Blood Test	Health Center A	Casey Miller	Outpatient	EDI	Walk-in	Primary Care
38	2025-06-04	UNUSED	UNUSED	37.7605	null	2	4	2	8,833	761	15	138.79	Pending	null	null	0	null	Submitted	35	Male	Texas	Cigna	X-Ray	Metro Hospital	Michael Roberts	Outpatient	Mail	Walk-in	Cardiology
39	2024-05-16	UNUSED	UNUSED	59.178089	null	5	4	3	5,453	426	33	4,130.67	Rejected	Procedure Not Covered	null	0	null	Submitted	79	Female	Florida	UnitedHealth	Surgery	Metro Hospital	Joseph Nixon	Outpatient	Fax	Referral	Primary Care
40	2024-07-22	Timely filing limit exceeded	UNUSED	61.676253	null	5	1	4	5,709	447	24	4,856.96	Approved	null	2024-09-14	3,682.37	Online Portal	Paid	29	Female	Georgia	Blue Cross	Surgery	General Hospital	Michael Duran	Outpatient	EDI	Walk-in	Primary Care
41	2025-01-22	Authorization not obtained	UNUSED	56.60563	null	5	1	1	8,194	240	63	4,119.83	Approved	null	2025-03-28	3,201.96	Online Portal	Paid	46	Male	Texas	Aetna	Surgery	General Hospital	Kimberly Holmes	Outpatient	EDI	Referral	Primary Care
42	2024-10-27	Timely filing limit exceeded	UNUSED	73.606945	null	2	1	3	4,281	986	30	107.68	Approved	null	2024-11-15	89.04	Online Portal	Paid	86	Male	California	UnitedHealth	X-Ray	General Hospital	Christine Rodriguez	Outpatient	Online	Online Booking	Cardiology
43	2025-03-07	UNUSED	UNUSED	87.264162	null	3	4	1	9,891	177	24	600.62	Pending	null	null	0	null	Submitted	70	Male	California	Aetna	CT Scan	Metro Hospital	Caroline Rodriguez	Outpatient	EDI	Walk-in	Primary Care
44	2024-07-10	Contractual adjustment with payer	UNUSED	33.822213	null	1	2	3	2,749	363	1	923.62	Approved	null	2024-08-24	868.91	Bank Transfer	Paid	52	Male	Florida	UnitedHealth	MRI	City Clinic	Robert Sandoval	Inpatient	Online	Walk-in	Surgery
45	2025-05-22	UNUSED	UNUSED	46.962159	null	2	1	1	1,416	233	59	148.14	Pending	null	null	0	null	Submitted	63	Male	Florida	Aetna	X-Ray	General Hospital	Jonathan Brooks	Outpatient	Mail	Walk-in	Pediatrics
46	2025-02-08	Payer downcoded procedure	UNUSED	26.969084	null	2	2	4	3,862	190	67	195.82	Approved	null	2025-03-16	158.49	Credit Card	Paid	29	Female	Florida	Blue Cross	X-Ray	City Clinic	Michael Collins	Outpatient	EDI	Walk-in	Primary Care
47	2024-05-03	Deductible not met by patient	UNUSED	76.404665	null	3	1	1	24	372	60	453.51	Approved	null	2024-05-31	420.43	Online Portal	Paid	16	Female	Georgia	Aetna	CT Scan	General Hospital	Tyler Gonzalez	Emergency	EDI	Referral	Primary Care
48	2024-04-16	Coinsurance applied	UNUSED	7.20611	null	4	3	4	7,557	47	89	100	Approved	null	2024-05-08	84.28	Cheque	Paid	71	Female	New York	Blue Cross	Blood Test	Health Center A	Stephanie Myers	Outpatient	EDI	Referral	Primary Care
49	2025-04-28	Timely filing limit exceeded	UNUSED	75.614172	null	3	2	4	7,595	866	14	733.08	Approved	null	2025-06-06	540	Bank Transfer	Paid	73	Female	Illinois	Blue Cross	CT Scan	City Clinic	Heather Taylor	Outpatient	Online	Referral	Primary Care
50	2024-11-28	Full payment received	UNUSED	3.235311	null	3	2	5	6,655	440	11	572.18	Approved	null	2024-12-19	572.18	Online Portal	Paid	34	Male	California	Kaiser	CT Scan	City Clinic	David Rogers	Outpatient	Online	Walk-in	Pediatrics
51	2024-10-17	Deductible not met by patient	UNUSED	65.956625	null	2	1	1	5,728	596	29	194.75	Approved	null	2024-10-24	169.44	Online Portal	Paid	40	Female	California	Aetna	X-Ray	General Hospital	Johnathan Flores	Outpatient	EDI	Referral	Pediatrics
52	2025-01-15	Non-covered services reduced payment	UNUSED	48.637037	null	4	2	1	745	876	85	100	Approved	null	null	89.02	Credit Card	Paid	55	Male	Georgia	Aetna	Blood Test	City Clinic	Stacie Carter	Outpatient	EDI	Referral	Pediatrics
53	2024-09-04	Timely filing limit exceeded	UNUSED	10.380937	null	5	3	3	1,501	217	25	5,908.66	Approved	null	2024-11-04	5,638.67	Credit Card	Paid	60	Male	Georgia	UnitedHealth	Surgery	Health Center A	Patrick Douglas	Outpatient	EDI	Referral	Primary Care
54	2023-09-06	UNUSED	UNUSED	18.94128	null	5	2	2	9,836	397	12	5,059.8	Rejected	Invalid Insurance	null	0	null	Submitted	66	Female	California	Cigna	Surgery	City Clinic	Tonya Kramer	Inpatient	Online	Referral	Surgery
55	2024-02-21	Patient responsibility not collected	UNUSED	98.457147	null	4	4	1	804	91	43	100	Approved	null	2024-03-08	78.24	Credit Card	Paid	null	Female	Pennsylvania	Aetna	Blood Test	Metro Hospital	Jordan Tate	Inpatient	Online	Referral	Cardiology
56	2024-09-02	Deductible not met by patient	UNUSED	89.163491	null	4	4	1	8,549	304	58	100	Approved	null	2024-09-24	88.15	Credit Card	Paid	36	Female	Florida	Aetna	Blood Test	Metro Hospital	Ryan Fitzgerald	Outpatient	Online	Walk-in	Cardiology
57	2023-02-07	UNUSED	UNUSED	53.193661	null	2	3	3	3,174	137	85	100	Pending	null	null	0	null	Submitted	60	Female	New York	UnitedHealth	X-Ray	Health Center A	Victor Cox	Outpatient	EDI	Referral	Pediatrics
58	2024-06-02	Billed amount exceeds allowed amount	UNUSED	99.851341	null	3	1	2	5,084	111	48	557.5	Approved	null	2024-07-12	550.7	Bank Transfer	Paid	23	Male	California	Cigna	CT Scan	General Hospital	Mr. Eric Morales	Emergency	EDI	Online Booking	Cardiology
59	2025-01-13	Coinsurance applied	UNUSED	4.266166	null	4	2	4	7,362	70	36	100	Approved	null	2025-02-09	81.36	Credit Card	Paid	58	Male	California	Blue Cross	Blood Test	City Clinic	Dennis Arroyo	Emergency	EDI	Referral	Cardiology
60	2023-09-13	UNUSED	UNUSED	23.312937	null	2	3	5	8,022	936	22	131.98	Rejected	Invalid Insurance	null	0	null	Submitted	33	Female	Ohio	Kaiser	X-Ray	Health Center A	Melissa Russell	Inpatient	Online	Online Booking	Primary Care
61	2023-04-30	Full payment received	UNUSED	27.176356	null	2	1	2	5,745	185	61	211.53	Approved	null	2023-05-24	211.41	Online Portal	Paid	9	Female	Georgia	Cigna	X-Ray	General Hospital	Brittany Roberts	Outpatient	Online	Walk-in	Primary Care
62	2025-03-04	Patient responsibility not collected	UNUSED	75.227577	null	3	4	5	9,118	351	59	724.83	Approved	null	2025-04-08	717.67	Bank Transfer	Paid	59	Female	Georgia	Kaiser	CT Scan	Metro Hospital	Christopher Bryant	Outpatient	Mail	Walk-in	Pediatrics
63	2024-10-14	Patient responsibility not collected	UNUSED	55.465705	null	4	1	4	3,318	761	22	100	Approved	null	2024-11-05	81.36	Online Portal	Paid	25	Male	Ohio	Blue Cross	Blood Test	General Hospital	Michael Roberts	Inpatient	Online	Online Booking	Primary Care
64	2023-09-27	Full payment received	UNUSED	14.267699	null	2	3	5	9,904	297	13	191.59	Approved	null	2023-10-02	190.87	Online Portal	Paid	44	Female	Georgia	Kaiser	X-Ray	Health Center A	Raymond Kelly	Outpatient	Fax	Walk-in	Surgery
65	2025-02-14	Coinsurance applied	UNUSED	4.594803	null	4	4	1	1,973	701	43	100	Approved	null	2025-02-19	77.61	Cheque	Paid	58	Female	California	Aetna	Blood Test	Metro Hospital	Andrew Johnson	Inpatient	Online	Referral	Cardiology
66	2024-11-11	Non-covered services reduced payment	UNUSED	96.378851	null	2	1	1	979	930	39	159.95	Approved	null	2024-12-05	133.99	Bank Transfer	Paid	13	Female	Ohio	Aetna	X-Ray	General Hospital	Jennifer Melton	Outpatient	EDI	Walk-in	Surgery
67	2024-03-05	Timely filing limit exceeded	UNUSED	28.716501	null	5	2	3	3,036	447	83	6,354.71	Approved	null	2024-05-01	5,657.7	Online Portal	Paid	53	Male	New York	UnitedHealth	Surgery	City Clinic	Michael Duran	Emergency	Online	Walk-in	Cardiology
68	2024-04-12	Authorization not obtained	UNUSED	76.795152	null	1	3	3	3,831	6	14	-2,051.77	Approved	null	2024-05-18	1,877.45	Bank Transfer	Paid	40	Male	Georgia	UnitedHealth	MRI	Health Center A	Diamond Wallace	Outpatient	Online	Referral	Primary Care
69	2023-09-02	Timely filing limit exceeded	UNUSED	54.898622	null	4	4	4	2,290	872	14	100	Approved	null	2023-09-24	74.18	Online Portal	Paid	73	Female	Georgia	Blue Cross	Blood Test	Metro Hospital	Laura Whitehead	Outpatient	Online	Referral	Primary Care
70	2025-03-03	Timely filing limit exceeded	UNUSED	49.953025	null	2	4	4	2,121	447	75	197.14	Approved	null	2025-03-22	143.68	Credit Card	Paid	93	Male	Florida	Blue Cross	X-Ray	Metro Hospital	Michael Duran	Outpatient	Online	Referral	Cardiology
71	2024-07-27	Authorization not obtained	UNUSED	29.292097	null	1	2	2	3,409	447	42	885.76	Approved	null	2024-09-12	869.07	Online Portal	Paid	40	Male	Ohio	Cigna	MRI	City Clinic	Michael Duran	Outpatient	Mail	Referral	Primary Care
72	2024-09-01	Timely filing limit exceeded	UNUSED	82.257376	null	5	2	4	649	595	45	5,572.19	Approved	null	2024-11-20	4,251.53	Online Portal	Paid	40	Male	Illinois	Blue Cross	Surgery	City Clinic	Michael Sharp	Outpatient	EDI	Walk-in	Surgery
73	2025-04-01	Deductible not met by patient	UNUSED	66.00616	null	5	3	3	4,940	337	100	4,092.68	Approved	null	2025-05-27	3,812.05	Credit Card	Paid	16	Male	Illinois	UnitedHealth	Surgery	Health Center A	John Parks	Inpatient	Online	Walk-in	Surgery
74	2023-02-03	Billed amount exceeds allowed amount	UNUSED	11.658727	null	3	3	3	7,276	447	55	401.41	Approved	null	2023-03-06	327.8	Online Portal	Paid	30	Female	Georgia	UnitedHealth	CT Scan	Health Center A	Michael Duran	Emergency	Online	Referral	Surgery
75	2023-05-04	Medical necessity not documented	UNUSED	89.636608	null	5	3	2	7,126	652	21	5,678.11	Approved	null	2023-07-04	4,999.47	Credit Card	Paid	6	Male	New York	Cigna	Surgery	Health Center A	Jonathan Fisher	Emergency	EDI	Online Booking	Primary Care
76	2023-09-09	Medical necessity not documented	UNUSED	92.31064	null	4	2	4	2,540	591	25	100	Approved	null	2023-10-12	83.98	Online Portal	Paid	46	Female	Florida	Blue Cross	Blood Test	City Clinic	Julie Fletcher	Outpatient	EDI	Referral	Primary Care
77	2023-03-02	UNUSED	UNUSED	97.94987	null	1	2	3	2,430	220	35	1,576.47	Pending	null	null	0	null	Submitted	38	Female	Georgia	UnitedHealth	MRI	City Clinic	Sarah Williams	Outpatient	Fax	Online Booking	Surgery
78	2024-11-11	Non-covered services reduced payment	UNUSED	80.889743	null	3	2	1	3,785	761	59	485.33	Approved	null	2024-12-06	432.28	Credit Card	Paid	54	Male	Georgia	Aetna	CT Scan	City Clinic	Michael Roberts	Outpatient	Mail	Walk-in	Pediatrics
79	2024-10-25	Billed amount exceeds allowed amount	UNUSED	67.232578	null	4	2	1	372	389	58	100	Approved	null	2024-11-16	89.27	Online Portal	Paid	54	Female	Georgia	Aetna	Blood Test	City Clinic	Autumn Patterson	Outpatient	Online	Walk-in	Cardiology
80	2023-11-05	Non-covered services reduced payment	UNUSED	44.225147	null	2	3	2	298	677	98	175.29	Approved	null	2023-12-08	147.05	Cheque	Paid	51	Male	California	Cigna	X-Ray	Health Center A	Mary Gonzalez	Outpatient	EDI	Walk-in	Surgery
81	2023-08-26	Coinsurance applied	UNUSED	39.385535	null	3	2	1	8,758	701	48	527.78	Approved	null	2023-09-23	491.07	Online Portal	Paid	50	Female	Texas	Aetna	CT Scan	City Clinic	Andrew Johnson	Emergency	EDI	Online Booking	Cardiology
82	2023-08-21	Medical necessity not documented	UNUSED	66.558966	null	5	1	5	9,833	290	20	4,332.67	Approved	null	2023-10-18	4,280.44	Bank Transfer	Paid	35	Male	California	Kaiser	Surgery	General Hospital	William Perkins	Outpatient	Online	Referral	Primary Care
83	2025-05-11	Contractual adjustment with payer	UNUSED	35.033974	null	2	1	3	5,262	986	27	170.04	Approved	null	2025-05-21	137.49	Credit Card	Paid	29	Female	Texas	UnitedHealth	X-Ray	General Hospital	Christine Rodriguez	Emergency	Mail	Referral	Pediatrics
84	2024-12-04	Non-covered services reduced payment	UNUSED	57.522659	null	3	2	3	661	47	5	440.6	Approved	null	2025-01-01	379.32	Credit Card	Paid	33	Male	Pennsylvania	UnitedHealth	CT Scan	City Clinic	Stephanie Myers	Outpatient	EDI	Referral	Cardiology
85	2024-09-21	Billed amount exceeds allowed amount	UNUSED	51.004528	null	2	4	2	9,499	678	7	162.31	Approved	null	2024-10-24	159.15	Credit Card	Paid	46	Male	Texas	Cigna	X-Ray	Metro Hospital	James Park	Outpatient	Fax	Walk-in	Primary Care
86	2024-02-24	UNUSED	UNUSED	8.239495	null	2	3	2	3,841	930	51	162.91	Rejected	Procedure Not Covered	null	0	null	Submitted	32	Male	Florida	Cigna	X-Ray	Health Center A	Jennifer Melton	Emergency	Fax	Online Booking	Surgery
87	2024-05-29	Timely filing limit exceeded	UNUSED	35.882603	null	4	2	3	2,104	777	75	100	Approved	null	2024-06-04	95.26	Bank Transfer	Paid	67	Female	California	UnitedHealth	Blood Test	City Clinic	Lisa Garcia	Outpatient	Online	Referral	Cardiology
88	2023-06-07	Patient responsibility not collected	UNUSED	81.758374	null	2	1	2	3,322	111	78	204.51	Approved	null	2023-06-21	192.9	Cheque	Paid	26	Female	California	Cigna	X-Ray	General Hospital	Mr. Eric Morales	Outpatient	Online	Walk-in	Pediatrics
89	2025-06-05	UNUSED	UNUSED	34.133252	null	2	1	2	1,255	440	38	117.79	Pending	null	null	0	null	Submitted	69	Male	Florida	Cigna	X-Ray	General Hospital	David Rogers	Outpatient	Online	Referral	Primary Care
90	2025-01-13	Coinsurance applied	UNUSED	27.201705	null	5	3	3	1,867	788	37	6,206.46	Approved	null	2025-03-14	5,086	Credit Card	Paid	65	Female	California	UnitedHealth	Surgery	Health Center A	Erin King MD	Outpatient	Fax	Walk-in	Primary Care
91	2024-10-17	Contractual adjustment with payer	UNUSED	67.491624	null	2	2	3	7,699	297	49	135.44	Approved	null	2024-11-03	130.92	Bank Transfer	Paid	53	Female	Texas	UnitedHealth	X-Ray	City Clinic	Raymond Kelly	Emergency	Online	Walk-in	Cardiology
92	2024-09-23	Non-covered services reduced payment	UNUSED	78.300431	null	2	4	2	1,858	820	17	121.97	Approved	null	2024-10-27	101.74	Online Portal	Paid	39	Male	Illinois	Cigna	X-Ray	Metro Hospital	Michael Cohen	Outpatient	EDI	Walk-in	Cardiology
93	2024-07-24	Medical necessity not documented	UNUSED	14.001144	null	1	1	1	1,072	182	93	1,322.75	Approved	null	2024-09-14	1,045.86	Online Portal	Paid	54	Female	Georgia	Aetna	MRI	General Hospital	Michelle Chandler	Outpatient	Mail	Referral	Primary Care
94	2023-12-23	Deductible not met by patient	UNUSED	57.227701	null	4	1	3	1,252	289	1	100	Approved	null	2024-01-07	95.73	Online Portal	Paid	61	Male	Illinois	UnitedHealth	Blood Test	General Hospital	Sarah Kane	Inpatient	Online	Walk-in	Surgery
95	2023-11-21	Full payment received	UNUSED	39.777396	null	2	1	2	4,804	289	82	146.35	Approved	null	2023-12-10	146.35	Cheque	Paid	30	Male	Georgia	Cigna	X-Ray	General Hospital	Sarah Kane	Outpatient	EDI	Referral	Surgery
96	2024-08-27	Full payment received	UNUSED	81.131491	null	4	2	2	9,513	788	36	100	Approved	null	2024-09-25	100	Cheque	Paid	64	Female	Pennsylvania	Cigna	Blood Test	City Clinic	Erin King MD	Emergency	EDI	Referral	Cardiology
97	2023-05-09	Medical necessity not documented	UNUSED	70.406153	null	4	4	3	5,579	276	32	100	Approved	null	2023-05-21	95.07	Online Portal	Paid	18	Male	Texas	UnitedHealth	Blood Test	Metro Hospital	Eric Watson	Inpatient	Online	Referral	Primary Care
98	2023-05-15	Authorization not obtained	UNUSED	35.970301	null	2	4	5	4,347	336	12	107.33	Approved	null	2023-05-30	103.72	Cheque	Paid	44	Male	Georgia	Kaiser	X-Ray	Metro Hospital	Erin Martinez	Inpatient	Online	Referral	Surgery
99	2024-09-04	UNUSED	UNUSED	37.27664	null	5	1	2	8,755	866	11	9,585.17	Pending	null	null	0	null	Submitted	31	Female	New York	Cigna	Surgery	General Hospital	Heather Taylor	Outpatient	Online	Walk-in	Pediatrics
100	2025-04-22	Contractual adjustment with payer	UNUSED	92.54872	null	4	2	3	1,530	36	48	100	Approved	null	2025-05-17	79.52	Online Portal	Paid	22	Female	New York	UnitedHealth	Blood Test	City Clinic	Justin Johnson DDS	Emergency	EDI	Online Booking	Cardiology

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