REQ-2024-0892
ABC Medical Distribution
- Distributor
- ABC Medical Distribution
- Contact
- John Smith
- Submitted
- Nov 26, 10:30 AM
- Format
- EDI 844
- Line Items
- 1,247
- Total Claimed
- $156,432
- Priority
- High
- Status
- Pending
Line-item level claim detail, validation history, and review actions for this request are still being defined — coming soon.