Inbound Documents - Radiology Report
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|
Content Type |
MMEXESHTI |
|
File Creation Date/Time |
[generate upon submission use e.g. 20200608164859] |
|
Run ID |
[use PMS application name abbreviation: 3 characters followed by 7 digits e.g. ACC0000001] |
|
Claim Reference |
PH77313 |
|
Consulting Provider Name |
[use any provider name] |
|
Consult Date |
01/06/2021 |
|
Metadata for Content Type |
[N/A] |
|
Assessment Type |
X-Ray |
|
Body Site |
Right Shoulder |
|
Client NHI Number |
NHI1361 |
|
Client First Name |
Wolfgang Amadeus |
|
Client Last Name |
Mozart |
|
Client Date of Birth |
01-09-1955 |
|
File Extension |
|