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Submission Information - Current as of 04/20/2008 (11:55:43 AM)

Submission Number

0057190346

Form Type

837p

Upload Date & Time

01/02/2008 4:52:54 PMEST

Process Date & Time

01/02/2008 5:15:50 PMEST

Entry Location

eProvider Website

File Status

Passed Validation

Original File

File Name

VA0819051477.html

This file is over 90 days old and has been archived. Please contact e-Support Services with questions or concerns.

File Size

1048Byte(s)

Verification Object

ETSHIPAA837iF1

Export File Name

Queue Position

0 of 0

Approx.
Time Till Processed

0 minutes

Resubmission Date/Time	Resubmitted By
No resubmissions found.

Error Line #	Description
1
0 errors found.

Question	Answer
[submitterid]	[submitterid]
[test]	[test]
[password]	[password]
How many claims are in this file?	1
What is the total dollar amount?	1.00

Backend Information	Value
Backend Code:	7FLO
Backend Description:	HIPAA 837p Production FLO Files