Claims Review
Last Date of Treatment
Included DOS Range05-08-2025–02-24-2026
Last Data Load05-19-2026
Not Reviewed:
DOS:–
Search:
Total Records: 22
Begin DOS | End DOS | Claim Num | Provider | T | ICD 1 | ICD 2 | ICD 3 | ICD 4 | ICD 5 | INC | EXC | REV | Billed Amt. | Paid Amt. | Load Date | Linked | Rec Amt | Notes | LOB | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| + | 05-08-25 | 05-08-25 | 25136326644 | TONIOLO,JAMES,MD | Y | $1,255.00 | $372.84 | 06-04-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 05-08-25 | 05-08-25 | 25136326403 | ANDREWS,STEVEN,MD | Y | $815.00 | $455.99 | 06-04-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 05-08-25 | 05-08-25 | 25137263353 | TONIOLO,JAMES,MD | Y | $1,340.00 | $398.64 | 06-04-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 05-08-25 | 05-08-25 | 25134434850 | AURORA MED CENTER MT PLEAS | Y | $13,278.97 | $1,800.00 | 06-04-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 05-14-25 | 05-14-25 | 25142331712 | PRYOMSKI,NICHOLAS,MD | Y | $540.00 | $283.96 | 06-12-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 05-28-25 | 05-28-25 | 25160118031 | AURORA MEDICAL CENTER KENO | Y | $530.00 | $232.00 | 06-24-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 06-02-25 | 06-16-25 | 25191180007 | AURORA MEDICAL CENTER KENO | Y | $1,945.00 | $928.00 | 07-22-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 07-29-25 | 07-29-25 | 25223190520 | NEIMON,ROBERT,MD | Y | $930.00 | $272.60 | 09-04-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 07-29-25 | 07-29-25 | 25217371288 | AURORA MED CENTER MT PLEAS | Y | $4,220.00 | $273.00 | 08-29-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 09-03-25 | 09-03-25 | 25258440773 | SIMON,ANDREW,MD | Y | $120.00 | $34.83 | 10-11-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 09-03-25 | 09-03-25 | 25257474568 | JACOBSEN,WALTER,PDO | Y | $795.00 | $427.20 | 10-11-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 09-17-25 | 09-17-25 | 25261887234 | CHEN,MARGARET,MD | Y | $680.00 | $312.50 | 10-28-25 | N | $0.00 | Y | Commercial Self-Insured | |||||||||
| + | 10-02-25 | 10-02-25 | 25278334901 | MIDWEST SPINE & ORTHO | Y | $2,150.00 | $876.40 | 11-05-25 | N | $0.00 | N | Workers Compensation | |||||||||
| + | 10-15-25 | 10-22-25 | 25289441027 | REGIONAL REHAB CENTER | Y | $3,880.00 | $1,440.00 | 11-14-25 | Y | $0.00 | Y | Commercial Self-Insured | |||||||||
| + | 11-04-25 | 11-04-25 | 25301228874 | PATEL,SUNITA,DO | Y | $440.00 | $198.75 | 12-01-25 | N | $0.00 | N | Medicare Advantage | |||||||||
| + | 11-18-25 | 11-18-25 | 25317884456 | LAKEFRONT CHIROPRACTIC | Y | $325.00 | $142.00 | 12-10-25 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 12-01-25 | 12-01-25 | 25333120098 | NORTHSHORE PAIN MGMT | Y | $750.00 | $0.00 | 12-22-25 | N | $0.00 | Y | Commercial Self-Insured | |||||||||
| + | 12-09-25 | 12-09-25 | 25341776622 | GARCIA,ELENA,PT | Y | $275.00 | $156.20 | 01-08-26 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 01-06-26 | 01-06-26 | 26014882301 | BRENNAN,TIMOTHY,MD | Y | $5,640.00 | $2,108.00 | 01-28-26 | Y | $0.00 | Y | Workers Compensation | |||||||||
| + | 01-20-26 | 01-20-26 | 26020441189 | ADVANCED ORTHOPEDICS LLC | Y | $1,890.00 | $744.30 | 02-10-26 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 02-03-26 | 02-03-26 | 26034115877 | TONIOLO,JAMES,MD | Y | $980.00 | $341.60 | 02-20-26 | N | $0.00 | N | Commercial Self-Insured | |||||||||
| + | 02-17-26 | 02-24-26 | 26048229934 | AURORA MEDICAL CENTER KENO | Y | $7,320.00 | $2,640.00 | 03-12-26 | Y | $0.00 | Y | Commercial Self-Insured | |||||||||
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