WC/Auto Claims Tracker

S.No Client Clinic Patient name DOS Billed Amount Payer Claim Mode of claim submission(Fax/Email/Mail) Fax/ Email/Address Fax/ Email sent on Payer Status Call Notes Update
1 ITB Sports COOK, SHEILA 10/24/2024 $290 SPNet MedRisk 4A2405QTMFL0001 Fax 859-550-2101 11/04/2024 Recieved
2 ITB Sports BLAIR, CRYSTAL 10/28/2024 $225 MedRisk F6E9472 E-Mail client@gmail.com 11/04/2024 Not Recieved Call back Tomorrow
3 ITB Sports COOK, SHEILA 10/24/2024 $290 SPNet MedRisk 4A2405QTMFL0001 mail 1st Street,NJ 11/04/2024 Not Recieved Call back Tomorrow