03/28/2007 |
Xeni Medical Systems, Inc. |
|
|
MD Example PLLC |
|
|
Submit Date: 02/01/2007 - 2/28/2007 |
|
|
Count |
Billed |
Fee Schedule |
Expected |
Loan |
Payment Received |
Loan Settled |
||||||||
Open Claims |
|
115 |
|
162,765.00 |
|
45,341.91 |
|
12,382.81 |
|
613.06 |
|
0.00 |
|
0.00 |
|
CH Ack |
|
103 |
|
146,025.00 |
|
40,673.19 |
|
7,714.09 |
|
574.15 |
|
0.00 |
|
0.00 |
|
CH Rej |
|
12 |
|
16,740.00 |
|
4,668.72 |
|
4,668.72 |
|
38.91 |
|
0.00 |
|
0.00 |
|
No CH Status |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
|
|
|
115 |
|
162,765.00 |
|
45,341.91 |
|
12,382.81 |
|
613.06 |
|
0.00 |
|
0.00 |
|
|
||||||||||||||
Closed Claims |
|
148 |
|
231,915.00 |
|
64,807.92 |
|
35,143.93 |
|
4,011.30 |
|
47,850.52 |
|
4,011.30 |
|
Positive PMT |
|
104 |
|
141,265.00 |
|
39,477.38 |
|
28,986.08 |
|
2,503.43 |
|
47,850.52 |
|
2,503.43 |
|
Zero Dollar PMT |
|
44 |
|
90,650.00 |
|
25,330.54 |
|
6,157.85 |
|
1,507.87 |
|
0.00 |
|
1,507.87 |
|
|
|
|
148 |
|
231,915.00 |
|
64,807.92 |
|
35,143.93 |
|
4,011.30 |
|
47,850.52 |
|
4,011.30 |
|
|
||||||||||||||
Aged Off Claims |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
CH ACK/No PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
CH ACK/PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
CH REJ/No PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
CH REJ/PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
No CH STATUS/No PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
No CH STATUS/PMT |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
|
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
|
|
||||||||||||||
Replaced/Retired Claims |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
|
|
||||||||||||||
Total Submissions up to 2/28/2007 |
263 |
|
394,680.00 |
|
110,149.83 |
|
47,526.74 |
|
4,624.36 |
|
47,850.52 |
|
4,011.30 |
|
|
Total Paid |
|
104 |
|
141,265.00 |
|
39,477.38 |
|
28,986.08 |
|
2,503.43 |
|
47,850.52 |
|
2,503.43 |
|
Total CH Reject |
|
12 |
|
16,740.00 |
|
4,668.72 |
|
4,668.72 |
|
38.91 |
|
0.00 |
|
0.00 |
|
Total Payer Reject (835) |
|
44 |
|
90,650.00 |
|
25,330.54 |
|
6,157.85 |
|
1,507.87 |
|
0.00 |
|
1,507.87 |
|
Total Open / Aged Off with Status |
|
103 |
|
146,025.00 |
|
40,673.19 |
|
7,714.09 |
|
574.15 |
|
0.00 |
|
0.00 |
|
Total Open / No Status |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
Total Aged Off / No Status |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
|
|
|
263 |
|
394,680.00 |
|
110,149.83 |
|
47,526.74 |
|
4,624.36 |
|
47,850.52 |
|
4,011.30 |
|
|
||||||||||||||
Total problems: |
|
0 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|
0.00 |
|