Rejection Capture

No Client Clinic Received Date Patient Name DOS Insurance Billed Amount Rejection Reason Action taken Status Worked By Worked on update
1 ITB Sports Chk Chk Chk Chk Chk Chk Chk Chk Chk Chk
2 ITB Sports Chk Chk Chk Chk Chk Chk Chk Chk Chk Chk