Question: Submission Form Complete this form and upload into the assignment. # of Account to Patient Acct # Disch Date A/R Days Total Charges Reason Code

Submission Form Complete this form and upload into the assignment. # of Account to Patient Acct # Disch Date A/R Days Total Charges Reason Code Code 2359600 XXXXXX $235,654.33 2 1 2359788 XXX/XX $127.234.55 2356677 XXOO/Xx 12 $68. 895.23 2 2356987 XX/XXXX 1 $355,687.44 2 2587766 XXXXXX $97.231.89 2 2563210 XXOO/Xx 22 $23,652 94 2356411 XXXXXX $97.546.85 2 3 Reason Codes: 1=Insurance verification 2=Principal diagnosis 3=Biller Hold Explanation (Describe your rationale for the order of coding of patient accounts.]

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