

These claim numbers are underlined and appear in blue. They are hyperlinks to the actual claim. Left-click any listed claim number to open its Claim Detail screen and see the associated claim information.
The first three digits refer to the year (204 = 2004).
The next six digits identify the claim.
The last two digits may have multiple meanings:
Because of the large number of claimed services, the original claim was split up to simplify processing; the first segment becomes -01, the second -02, etc.
The original claim (-00) was incorrectly processed and required revisions (beginning with -01)