                     Your Practice Name                                   (EZA)
                  +-----------------------------------------------+       (E1)
                  | MOS Invoices downloading to FastEMC ANSI837   |
                  +-----------------------------------------------+
Printed: Jan 12, 2006  at 17:13:35                            Page: 1
ANSI
                                                        SEQUENCE #:      117
Item     Account#  Invoice#    Message
--------------------------------------------------------------------------------
       1        1     264  *     Copied Successfully To EDI
       2        1     325        Copied Successfully To EDI
       3        2     319     Missing Patient's Sex
       3        2     319     Patient Address Is Invalid.
       3        2     319     Missing Patient's Address
       3        2     319     DME Requires A Referring Provider
       4        2     320     Missing Patient's Sex
       4        2     320     Patient Address Is Invalid.
       4        2     320     Missing Patient's Address
       4        2     320     DME Requires A Referring Provider
       5        2     321     Missing Patient's Sex
       5        2     321     Patient Address Is Invalid.
       5        2     321     Missing Patient's Address
       5        2     321     DME Requires A Referring Provider
       6        3     283  *     Copied Successfully To EDI
       7        3     291  *     Copied Successfully To EDI
       8        3     318        Copied Successfully To EDI
       9        4     228  *     Copied Successfully To EDI
      10        6     301     Missing Insurance Payor In FastEMC: BS65 Update C
      11        8     287  *     Copied Successfully To EDI
      12        8     289     Missing Insurance Payor In FastEMC: MCDM Update C
      12        8     289     Missing Insurance Payor In FastEMC: MCDM Update C
      13        8     310     Missing Insurance Payor In FastEMC: MCDM Update C
      14        8     324     Missing Insurance Payor In FastEMC: MCDM Update C
      14        8     324     Missing Insurance Payor In FastEMC: MCDM Update C
      15       11     251  *     Copied Successfully To EDI
      16       13     280  *     Copied Successfully To EDI
      17       17      88     Ins Type For Carrier 2 Missing: LTVM
      17       17      88     Missing Insurance Company Record For: LTVM
      17       17      88     Missing Insurance Payor In FastEMC: LTVM Update C
      18       21     275  *     Copied Successfully To EDI
      19       22      95  *     Copied Successfully To EDI
      20       23     204  *     Copied Successfully To EDI
      21       24      30  *     Copied Successfully To EDI
      22       24     198  *     Copied Successfully To EDI
      23       31      65  *     Copied Successfully To EDI
      24       32     168  *     Copied Successfully To EDI
      25       32     208  *     Copied Successfully To EDI
      26       36     253  *     Copied Successfully To EDI
      27       46      53  *     Copied Successfully To EDI
      28       46      71  *     Copied Successfully To EDI
      29       47      55  *     Copied Successfully To EDI
      30       50     134  *     Copied Successfully To EDI
--------------------------------------------------------------------------------
All claims listed with errors were not included in this sequence #.
These, once corrected, will be included in the next new run to MOS EDI.

    * after the Invoice# indicates an invoice that was previously submitted.
--------------------------------------------------------------------------------








