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Session Results Report (Post Transmission Report) ........................................................................................... 17 MD On-Line Rejection Report ............................................................................................................................ 18 Eligibility Rejection Report ................................................................................................................................. 19 Clearinghouse Acceptance Report ..................................................................................................................... 20 Clearinghouse Rejection Report ........................................................................................................................ 21 Insurance Company Acceptance Report ............................................................................................................ 22 Insurance Company Rejection Report ................................................................................................................ 23 Advanced Claim Status Report .......................................................................................................................... 24 Basic Claim Status Report .................................................................................................................................. 25 Frequently Asked Questions .................................................................................................... 26 Payment Options Info Sheet .................................................................................................... 31 Bank Account Debit/ Credit Card Form .................................................................................... 32 Print & Mail Service Info and Opt-Out Form ............................................................................ 33 Referral Program ..................................................................................................................... 34 3
