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AC10

The document appears to be a log of transactions containing identifiers, dates, codes and monetary amounts. It includes over 50 transactions logged between September 29, 2018 and October 13, 2018 involving medical claims processing with common codes indicating diagnoses, procedures and reimbursement amounts.

Uploaded by

Juan David Diaz
Copyright
© © All Rights Reserved
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99 views7 pages

AC10

The document appears to be a log of transactions containing identifiers, dates, codes and monetary amounts. It includes over 50 transactions logged between September 29, 2018 and October 13, 2018 involving medical claims processing with common codes indicating diagnoses, procedures and reimbursement amounts.

Uploaded by

Juan David Diaz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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133549,174420016101,CC,1059710118,29/09/2018,94711056,890701,10,13,N390,B349,,,2,51

300,0,51300
133547,174420016101,CC,1058229833,29/09/2018,94711931,890701,10,13,R11X,,,,2,51300,
0,51300
133546,174420016101,CC,1060588875,30/09/2018,94715910,890701,10,02,A09X,,,,2,51300,
0,51300
133545,174420016101,CC,1058230436,30/09/2018,94715895,890701,10,13,N390,,,,2,51300,
0,51300
133878,174420016101,CC,1060586766,30/09/2018,94717125,890701,10,05,S798,,,,2,51300,
0,51300
133544,174420016101,CC,24741625,01/10/2018,94726269,890701,10,13,I679,I10X,,,2,5130
0,0,51300
133541,174420016101,CC,1007651895,01/10/2018,94759120,890701,10,05,S600,,,,2,51300,
0,51300
133543,174420016101,CC,24747023,01/10/2018,94759261,890701,10,13,K297,I10X,E119,,2,
51300,0,51300
133542,174420016101,CC,1007213765,01/10/2018,94758983,890701,10,13,M792,,,,2,51300,
0,51300
133539,174420016101,TI,1002754890,01/10/2018,94758779,890701,10,05,S400,,,,2,51300,
0,51300
133540,174420016101,CC,1058230681,01/10/2018,94776685,890701,10,13,L500,,,,2,51300,
0,51300
133716,174420016101,CC,75076469,01/10/2018,94782302,890701,10,13,K297,,,,2,51300,0,
51300
133551,174420016101,CC,4446859,01/10/2018,94780339,890701,10,13,M545,,,,2,51300,0,5
1300
133719,174420016101,CC,13568692,01/10/2018,94783436,890701,10,13,R509,,,,2,51300,0,
51300
133718,174420016101,CC,1058228302,01/10/2018,94783806,890701,10,05,S800,,,,2,51300,
0,51300
133630,174420016101,CC,4445829,02/10/2018,94817461,890701,10,13,J450,G448,,,2,51300
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133626,174420016101,CC,24743091,02/10/2018,94842901,890701,10,13,J030,,,,2,51300,0,
51300
133595,174420016101,CC,24741993,02/10/2018,94832796,890701,10,13,I10X,,,,2,51300,0,
51300
133628,174420016101,CC,1058231097,02/10/2018,94853120,890701,10,13,L500,,,,1,51300,
0,51300
136355,174420016101,CC,8103301,02/10/2018,94856279,890701,10,13,L020,,,,2,51300,0,5
1300
133928,174420016101,CC,93407497,02/10/2018,94856113,890701,10,13,R51X,,,,2,51300,0,
51300
133715,174420016101,CC,4446069,02/10/2018,94856065,890701,10,13,M994,M545,,,2,51300
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133714,174420016101,CC,1060589699,03/10/2018,94931740,890701,10,13,R104,,,,2,51300,
0,51300
133649,174420016101,CC,15932753,03/10/2018,94870781,890703,10,13,S025,,,,2,23200,0,
23200
133875,174420016101,CC,1014179907,03/10/2018,94934924,890701,10,13,I959,K529,,,2,51
300,0,51300
133712,174420016101,CC,1004993725,03/10/2018,94931242,890701,10,05,S280,,,,2,51300,
0,51300
133868,174420016101,CC,1058229221,03/10/2018,94999753,890701,10,13,K529,,,,2,51300,
0,51300
133874,174420016101,CC,24742845,03/10/2018,94999521,890701,10,13,K522,,,,2,51300,0,
51300
134233,174420016101,RC,1056131823,04/10/2018,95003004,890701,10,13,R509,R060,,,2,51
300,0,51300
133721,174420016101,CC,1001545851,04/10/2018,94960455,890701,10,13,R51X,,,,2,51300,
0,51300
133728,174420016101,CC,24742419,04/10/2018,94955779,890703,10,13,K053,,,,2,23200,0,
23200
133730,174420016101,CC,24742421,04/10/2018,94955047,890703,10,13,K047,,,,2,23200,0,
23200
133747,174420016101,CC,1007762182,04/10/2018,94984073,890701,10,13,K295,,,,2,51300,
0,51300
133869,174420016101,TI,1058228241,04/10/2018,94999622,890701,10,13,R51X,,,,2,51300,
0,51300
133865,174420016101,RC,1058231371,04/10/2018,95005547,890701,10,13,J219,,,,2,51300,
0,51300
133866,174420016101,CC,1058230779,04/10/2018,95005418,890701,10,13,K522,,,,2,51300,
0,51300
133879,174420016101,CC,1058229655,04/10/2018,95005473,890701,10,13,R509,R51X,,,2,51
300,0,51300
133807,174420016101,CC,4445998,05/10/2018,95023649,890701,10,13,R104,A09X,,,2,51300
,0,51300
133924,174420016101,TI,1001560540,05/10/2018,95062975,890701,10,13,R51X,,,,2,51300,
0,51300
133925,174420016101,RC,1058231429,05/10/2018,95063127,890701,10,13,K590,,,,2,51300,
0,51300
133871,174420016101,CC,75076469,04/10/2018,94945293,890701,10,13,K219,,,,2,51300,0,
51300
133872,174420016101,CC,1058230671,03/10/2018,94934937,890701,10,13,J450,R51X,R05X,,
2,51300,0,51300
133926,174420016101,CC,1058229923,05/10/2018,95062980,890701,10,13,R11X,A09X,,,2,51
300,0,51300
133892,174420016101,CC,32406098,06/10/2018,95070184,890703,10,13,K047,,,,2,23200,0,
23200
133917,174420016101,CC,6041487,07/10/2018,95088596,890701,10,13,I10X,,,,2,51300,0,5
1300
133918,174420016101,CC,1058228884,07/10/2018,95092854,890701,10,13,R103,K297,,,2,51
300,0,51300
133919,174420016101,CC,24742935,07/10/2018,95140477,890701,10,13,R568,,,,2,51300,0,
51300
133921,174420016101,CC,1058230239,07/10/2018,95140214,890701,10,13,K529,,,,2,51300,
0,51300
133920,174420016101,RC,1054887417,07/10/2018,95140006,890701,10,05,S018,,,,2,51300,
0,51300
133923,174420016101,CC,1060593561,08/10/2018,95155682,890701,10,13,B349,,,,2,51300,
0,51300
133922,174420016101,CC,1058228660,08/10/2018,95154805,890701,10,05,S019,,,,2,51300,
0,51300
133916,174420016101,CC,1058228847,08/10/2018,95155602,890701,10,13,J311,,,,2,51300,
0,51300
133927,174420016101,CC,1060593971,04/10/2018,94946182,890701,10,13,L031,,,,2,51300,
0,51300
134051,174420016101,CC,1059711705,09/10/2018,95223523,890701,10,13,M544,,,,2,51300,
0,51300
134050,174420016101,CC,1059705894,09/10/2018,95219389,890701,10,13,R51X,,,,2,51300,
0,51300
134048,174420016101,RC,1058231431,09/10/2018,95219338,890701,10,13,R454,,,,2,51300,
0,51300
134194,174420016101,CC,1090149784,09/10/2018,95223503,890701,10,13,R060,J311,,,2,51
300,0,51300
134052,174420016101,CC,38970621,09/10/2018,95223535,890701,10,13,I10X,,,,2,51300,0,
51300
134061,174420016101,CC,4445829,10/10/2018,95226690,890701,10,13,J40X,,,,2,51300,0,5
1300
134205,174420016101,CC,1058229176,10/10/2018,95234290,890701,10,13,M545,,,,2,51300,
0,51300
134099,174420016101,CC,24742398,10/10/2018,95250449,890703,10,13,K022,,,,2,23200,0,
23200
134202,174420016101,CC,16402877,10/10/2018,95253108,890701,10,13,J039,,,,2,51300,0,
51300
134200,174420016101,CC,1060586614,10/10/2018,95263009,890701,10,13,W578,,,,2,51300,
0,51300
134198,174420016101,CC,4658404,10/10/2018,95263856,890701,10,13,M438,M429,,,2,51300
,0,51300
134201,174420016101,CC,4446862,10/10/2018,95256081,890701,10,13,L023,,,,2,51300,0,5
1300
134197,174420016101,RC,1080365565,10/10/2018,95269161,890701,10,13,R509,,,,2,51300,
0,51300
134195,174420016101,CC,1058229965,10/10/2018,95279158,890701,10,13,H660,H920,,,2,51
300,0,51300
134203,174420016101,CC,1022034043,10/10/2018,95286438,890701,10,13,R252,,,,2,51300,
0,51300
135047,174420016101,TI,1054875687,11/10/2018,95286623,890701,10,13,R104,,,,2,51300,
0,51300
134204,174420016101,CC,1060597430,10/10/2018,95286457,890701,10,13,A09X,,,,2,51300,
0,51300
134210,174420016101,CC,1059697011,10/10/2018,95286630,890701,10,13,R51X,,,,2,51300,
0,51300
135054,174420016101,CC,16840659,11/10/2018,95303319,890701,10,13,R101,K808,K297,,2,
51300,0,51300
135056,174420016101,CC,1060595540,11/10/2018,95304921,890701,10,13,M545,,,,2,51300,
0,51300
135057,174420016101,CC,1149434503,11/10/2018,95340404,890701,10,13,J030,,,,2,51300,
0,51300
135053,174420016101,CC,79776663,11/10/2018,95340013,890701,10,13,H813,R11X,,,2,5130
0,0,51300
135049,174420016101,CC,1058228481,11/10/2018,95341660,890701,10,13,G442,,,,2,51300,
0,51300
135051,174420016101,CC,4446514,11/10/2018,95363201,890701,10,13,A09X,,,,2,51300,0,5
1300
134401,174420016101,TI,1058228543,12/10/2018,95366259,890703,10,13,S025,,,,2,23200,
0,23200
136363,174420016101,TI,1002755008,13/10/2018,95413028,890701,10,05,S530,S531,,,2,51
300,0,51300
136050,174420016101,CC,1193150960,12/10/2018,95416433,890701,10,13,J00X,,,,2,51300,
0,51300
136049,174420016101,CC,1112464325,12/10/2018,95416286,890701,10,13,M545,N390,,,2,51
300,0,51300
136046,174420016101,RC,1058231398,13/10/2018,95421409,890701,10,13,R509,J00X,,,2,51
300,0,51300
135062,174420016101,CC,1058230436,13/10/2018,95423092,890701,10,13,R11X,Z321,,,2,51
300,0,51300
135060,174420016101,CC,1060594416,13/10/2018,95423794,890701,10,13,R509,R060,,,2,51
300,0,51300
136053,174420016101,CC,1058229194,13/10/2018,95429418,890701,10,13,R104,,,,2,51300,
0,51300
136054,174420016101,CC,94318189,13/10/2018,95432907,890701,10,13,R509,,,,2,51300,0,
51300
136055,174420016101,RC,1055760492,13/10/2018,95432873,890701,10,13,J029,R11X,,,2,51
300,0,51300
136056,174420016101,RC,1055760492,15/10/2018,95440222,890701,10,13,J039,,,,2,51300,
0,51300
136057,174420016101,CC,1060593561,15/10/2018,95441541,890701,10,13,R101,K297,R509,,
2,51300,0,51300
136059,174420016101,CC,1058228041,15/10/2018,95446179,890701,10,13,A09X,,,,2,51300,
0,51300
134482,174420016101,RC,1058230075,16/10/2018,95457501,890703,10,13,K022,,,,2,23200,
0,23200
134492,174420016101,CC,1058230715,16/10/2018,95464628,890703,10,13,K040,,,,2,23200,
0,23200
134734,174420016101,CC,1060594416,16/10/2018,95506046,890701,10,13,R509,M791,,,2,51
300,0,51300
134733,174420016101,CC,33940162,17/10/2018,95544604,890701,10,13,O471,,,,2,51300,0,
51300
134615,174420016101,CC,1130599261,17/10/2018,95525142,890703,10,13,K040,,,,2,23200,
0,23200
134729,174420016101,CC,15930228,17/10/2018,95548732,890701,10,13,L500,,,,2,51300,0,
51300
134732,174420016101,RC,1058230540,17/10/2018,95553597,890701,10,13,J039,,,,2,51300,
0,51300
134664,174420016101,RC,1058231437,17/10/2018,95561986,890701,10,13,J22X,,,,2,51300,
0,51300
134731,174420016101,CC,16078244,17/10/2018,95576589,890701,10,13,M545,R51X,,,2,5130
0,0,51300
136160,174420016101,CC,1039420589,18/10/2018,95587302,890701,10,13,R529,S903,S923,,
2,51300,0,51300
134730,174420016101,CC,1099542895,17/10/2018,95575749,890701,10,13,M545,,,,2,51300,
0,51300
134722,174420016101,CC,88254699,17/10/2018,95583154,890703,10,13,M545,,,,2,23200,0,
23200
134762,174420016101,CC,1303844,17/10/2018,95589135,890701,10,13,T71X,,,,2,51300,0,5
1300
134872,174420016101,CC,4446363,18/10/2018,95653089,890701,10,13,B349,K522,,,2,51300
,0,51300
134859,174420016101,RC,1116260751,18/10/2018,95647768,890701,10,13,B349,,,,2,51300,
0,51300
134862,174420016101,CC,1076651148,18/10/2018,95652397,890701,10,05,S610,,,,2,51300,
0,51300
134863,174420016101,CC,24742885,18/10/2018,95652518,890701,10,05,S800,,,,2,51300,0,
51300
135030,174420016101,CC,1058228365,18/10/2018,95655314,890701,10,05,S602,,,,2,51300,
0,51300
135036,174420016101,RC,1056138407,18/10/2018,95655323,890701,10,13,H669,R509,,,2,51
300,0,51300
135033,174420016101,CC,1007233831,18/10/2018,95655321,890701,10,13,J22X,R509,,,2,51
300,0,51300
134926,174420016101,CC,1002755104,19/10/2018,95668823,890701,10,13,M545,S300,,,2,51
300,0,51300
135474,174420016101,CC,1060587219,19/10/2018,95716717,890701,10,13,B349,,,,2,51300,
0,51300
135097,174420016101,CC,1002899799,20/10/2018,,890701,10,05,S600,,,,2,51300,0,51300
136378,174420016101,CC,1059812933,21/10/2018,95738269,890701,10,13,O021,,,,1,51300,
0,51300
135297,174420016101,CC,24742847,20/10/2018,95738315,890701,10,13,E118,M329,I10X,,2,
51300,0,51300
135298,174420016101,CC,1007625506,20/10/2018,95746979,890701,10,13,R51X,,,,2,51300,
0,51300
135290,174420016101,CC,1047995847,22/10/2018,95749328,890701,10,05,S801,S900,,,2,51
300,0,51300
135299,174420016101,CC,1303844,21/10/2018,95774454,890701,10,13,J449,I10X,T71X,,2,5
1300,0,51300
135300,174420016101,CC,1058229062,22/10/2018,95749311,890701,10,05,S430,,,,2,51300,
0,51300
135295,174420016101,CC,4446468,21/10/2018,95751062,890701,10,13,R101,K297,K810,,2,5
1300,0,51300
135293,174420016101,CC,4446719,22/10/2018,95805504,890701,10,13,R529,S924,M243,,2,5
1300,0,51300
135292,174420016101,CC,15372127,22/10/2018,95785536,890701,10,13,R529,L038,,,2,5130
0,0,51300
135294,174420016101,RC,1058231161,22/10/2018,95792249,890701,10,13,R509,J351,,,2,51
300,0,51300
135285,174420016101,RC,1058230157,22/10/2018,95819984,890701,10,13,R509,J351,,,2,51
300,0,51300
135287,174420016101,TI,1002754903,22/10/2018,95833571,890701,10,05,S600,S610,,,2,51
300,0,51300
135286,174420016101,CC,1060594742,22/10/2018,95835045,890701,10,13,R101,K297,,,2,51
300,0,51300
135291,174420016101,RC,1038627280,22/10/2018,95819981,890701,10,13,H669,,,,2,51300,
0,51300
135289,174420016101,RC,1054884901,22/10/2018,95833306,890701,10,05,S098,,,,2,51300,
0,51300
135288,174420016101,TI,1002754855,22/10/2018,95833435,890701,10,13,G439,,,,2,51300,
0,51300
135284,174420016101,RC,1058231386,23/10/2018,95836135,890701,10,13,A09X,J22X,R509,,
2,51300,0,51300
135157,174420016101,CC,4446568,23/10/2018,,890703,10,13,S025,K022,K022,,2,23200,0,2
3200
135479,174420016101,RC,1058231224,23/10/2018,95864085,890701,10,13,J039,,,,2,51300,
0,51300
135476,174420016101,CC,1060591133,23/10/2018,95846855,890701,10,13,W579,,,,2,51300,
0,51300
135477,174420016101,CC,4446694,23/10/2018,95850886,890701,10,13,J00X,,,,2,51300,0,5
1300
135478,174420016101,CC,66778971,23/10/2018,95858149,890701,10,13,I10X,,,,2,51300,0,
51300
135480,174420016101,CC,1088025568,23/10/2018,95871189,890701,10,13,N390,N200,,,2,51
300,0,51300
135482,174420016101,CC,1060596230,23/10/2018,95878181,890701,10,13,H103,,,,2,51300,
0,51300
135484,174420016101,CC,24741700,23/10/2018,9588250,890701,10,05,S498,,,,2,51300,0,5
1300
135483,174420016101,CC,1006118084,23/10/2018,95884896,890701,10,13,G448,,,,2,51300,
0,51300
135296,174420016101,CC,4447020,21/10/2018,95775006,890701,10,13,R074,,,,2,51300,0,5
1300
135467,174420016101,CC,4446363,24/10/2018,95944783,890703,10,13,S025,,,,3,23200,0,2
3200
135470,174420016101,TI,1002755036,24/10/2018,95907114,890701,10,13,R42X,R11X,,,2,51
300,0,51300
135471,174420016101,CC,24742076,24/10/2018,95931585,890701,10,13,I959,B259,,,2,5130
0,0,51300
135472,174420016101,TI,1114952620,24/10/2018,95932658,890701,10,05,S610,,,,2,51300,
0,51300
135473,174420016101,CC,4445915,24/10/2018,95938569,890701,10,05,S610,,,,2,51300,0,5
1300
135900,174420016101,CC,1058231097,25/10/2018,95945305,890701,10,13,R104,,,,2,51300,
0,51300
135897,174420016101,TI,1002754811,24/10/2018,9544421,890701,10,05,S001,,,,2,51300,0
,51300
135898,174420016101,CC,15931389,24/10/2018,95944416,890701,10,13,R529,,,,2,51300,0,
51300
135896,174420016101,CC,1060589566,25/10/2018,95953062,890701,10,13,K522,B349,,,1,51
300,0,51300
135901,174420016101,RC,1112493605,25/10/2018,95999139,890701,10,05,S018,,,,2,51300,
0,51300
135902,174420016101,CC,4445641,25/10/2018,95999264,890701,10,13,R074,I10X,E119,,2,5
1300,0,51300
135903,174420016101,CC,1058230668,25/10/2018,96003094,890701,10,13,F120,,,,2,51300,
0,51300
135891,174420016101,CC,43654897,25/10/2018,96005327,890701,10,13,R074,,,,2,51300,0,
51300
135877,174420016101,CC,4446980,26/10/2018,96000970,890701,10,05,S070,S012,,,2,51300
,0,51300
135893,174420016101,CC,4446219,25/10/2018,96005310,890701,10,05,S800,,,,2,51300,0,5
1300
135892,174420016101,CC,43154597,25/10/2018,96005971,890701,10,13,R104,,,,2,51300,0,
51300
135888,174420016101,CC,24743083,26/10/2018,96024113,890701,10,13,M545,,,,2,51300,0,
51300
135758,174420016101,CC,2470770,26/10/2018,96066683,890703,10,13,K053,,,,2,23200,0,2
3200
135886,174420016101,CC,24742970,26/10/2018,96065483,890701,10,13,N390,,,,2,51300,0,
51300
135757,174420016101,CC,24742340,26/10/2018,96066575,890703,10,13,S025,,,,2,23200,0,
23200
135887,174420016101,CC,25079934,26/10/2018,96050409,890701,10,13,K522,K297,,,2,5130
0,0,51300
135890,174420016101,CC,16076058,26/10/2018,96060514,890701,10,13,R100,B349,,,2,5130
0,0,51300
135878,174420016101,CC,1060593466,26/10/2018,96067416,890701,10,13,R42X,A09X,R11X,,
2,51300,0,51300
135879,174420016101,CC,71878063,26/10/2018,96067419,890701,10,13,R104,K429,,,2,5130
0,0,51300
135864,174420016101,CC,1059700176,27/10/2018,96094295,890701,10,13,K522,B349,,,2,51
300,0,51300
135867,174420016101,CC,4445641,28/10/2018,96094253,890701,10,13,K402,,,,2,51300,0,5
1300
135870,174420016101,CC,4446117,28/10/2018,96098942,890701,10,05,S019,,,,2,51300,0,5
1300
135869,174420016101,CC,1303844,28/10/2018,96098931,890701,10,13,T71X,,,,2,51300,0,5
1300
135873,174420016101,CC,15931892,29/10/2018,96125255,890701,10,13,K522,,,,2,51300,0,
51300
135872,174420016101,CC,9810159,29/10/2018,96124034,890701,10,13,R102,,,,2,51300,0,5
1300
135874,174420016101,CC,16054681,29/10/2018,96130178,890701,10,13,M545,,,,2,51300,0,
51300
135875,174420016101,CC,1056802506,29/10/2018,96130058,890701,10,13,L030,,,,1,51300,
0,51300
135866,174420016101,CC,24742114,29/10/2018,96164809,890701,10,13,R739,,,,2,51300,0,
51300
135931,174420016101,CC,1058228437,30/10/2018,96175584,890703,10,13,K040,S025,S025,,
2,23200,0,23200
135928,174420016101,RC,1058230253,30/10/2018,96175112,890703,10,13,K047,,,,2,23200,
0,23200
135933,174420016101,CC,24742847,30/10/2018,96177960,890701,10,13,K047,,,,2,51300,0,
51300
136045,174420016101,CC,43728422,30/10/2018,96225307,890701,10,13,G439,,,,2,51300,0,
51300
136092,174420016101,CC,12992679,30/10/2018,96229687,890701,10,13,R104,R11X,,,2,5130
0,0,51300
136091,174420016101,CC,4446002,30/10/2018,96229681,890701,10,13,J209,,,,2,51300,0,5
1300
136128,174420016101,CC,4446206,31/10/2018,96248256,890703,10,13,S025,,,,2,23200,0,2
3200
136127,174420016101,CC,1002148098,31/10/2018,96243307,890703,10,13,K040,,,,2,23200,
0,23200
136120,174420016101,CC,4446568,31/10/2018,96244019,890703,10,13,K083,K022,K022,,2,2
3200,0,23200

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