Audit Detail         QM Review
Error NoError CodeCategoryResponseAction 
12Appeal - 002AppealAgreeCloseSelect
15Other Insurance - 009Other InsuranceDisagreeCloseSelect

  Error Detail
Sam Audit No87
Error No12
Claim TypeAcupuncture
Claim FormUB-04
Error LevelBusiness Error
Error TypeProcedural Error
Over Paid$0.00
Under Paid$0.00
Business TeamArden Kniffin Team
SOP TitleMedical Reimbursement PPN Processing
Error CodeAppeal - 002
Error CategoryAppeal
AuditorJames Cervin


  Audit Notes