Claim #9

For Jane Doe on March 09, 2026

Claim Readiness

Score 80%

Required Claim Fields

  • Service date 10 pts
  • Duration (1-90 mins) 10 pts
  • Diagnosis codes 10 pts
  • Treatment notes 10 pts

Billing Identity

  • Insurance name 5 pts
  • Member number 5 pts
  • Patient DOB 5 pts
  • Practice NPI 5 pts
  • Practice Tax ID 5 pts

Generated Artifacts

  • HTML generated 10 pts
  • PDF generated 10 pts
  • Exports generated 5 pts

Claim Status

  • Status appropriate 10 pts

Next Action

Generate claim documents (HTML/PDF)

Eligibility Checks

Last checked: No eligibility checks performed yet

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No eligibility checks performed yet

Document Status

completed

Export for Submission

Generate submission-ready files to upload to your clearinghouse portal (Office Ally, Availity, etc.)

Complete Submission Bundle

Download everything you need for claim submission in one convenient ZIP file.

  • CMS-1500 PDF for paper submission
  • 837P EDI file for electronic submission
  • Claim HTML & PDF documents
  • README with submission instructions

Or export individual files:

CMS-1500 PDF

Standard billing form accepted by all insurance payers. Use for manual submission.

837P EDI File

Electronic X12 format for automated clearinghouse submission (5010 version).

Claim Status

EXPORTED

Status History

  • EXPORTED

    Exported 837P EDI file for electronic submission

    Mar 09, 2026 09:46 PM
  • EXPORTED

    Exported CMS-1500 PDF for manual submission

    Mar 09, 2026 09:46 PM

Patient Information

Patient
Jane Doe
Date of Birth
1990-05-15
Insurance
Aetna - Member #AET123456789

Treatment Details

Date of Service
March 09, 2026
Duration
30 minutes
Conditions / Diagnoses
Low back pain
Treatments Performed
Acupuncture

Created: 2026-03-09 21:05

Last updated: 2026-03-09 21:46