| Wed Sep 25 09:55 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 10.0, Code page: 1252, Author: Administrator, Template: Normal.dotm, Last Saved By: Chris Sawtelle, Revision Number: 2, Name of Creating Application: Microsoft Office Word, Total Editing Time: 01:00, Last Printed: Tue Nov 1 19:42:00 2016, Create Time/Date: Tue Nov 1 19:58:00 2016, Last Saved Time/Date: Tue Nov 1 19:58:00 2016, Number of Pages: 1, Number of Words: 0, Number of Characters: 0, Security: 0 | | Wed Sep 25 08:01 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 6.1, Code page: 1200, Locale ID: 2052, Author: yuex, Template: Normal, Last Saved By: yuex, Revision Number: 3, Create Time/Date: Thu Apr 21 04:47:00 2022, Last Saved Time/Date: Mon Apr 29 08:47:23 2024, Last Printed: Wed Sep 6 07:04:17 2023, Number of Pages: 1, Number of Words: 125, Number of Characters: 503, Name of Creating Application: Microsoft O, Security: 0 | | Tue Sep 24 15:16 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 4.0, Code page: 1252, Title: 1500 Claim Form, Keywords: HCFAs, Invoices, Invoice Line Items, Process/Print, Comments: v8.40+#0932 Click here to view sample report. Enabled for PDF-eXPLODE. Report data values (such as name or email) in the user-designated PDF-eXPLODE tag match the information in the first record on each page.Report is location sensitive to Invoice Header Location ID.This is the form CMS-1500 approved 08/05. If you need to submit the 1500 Health Insurance Claim Form for Workers' Comp or insurance billing this report can print the form on plain paper or pre-printed forms can be used if desired. If pre-printed forms are used and alignment is required, contact SYSTOC Technical Support. Invoice Type must be 'H' on invoice header for this report to print invoice. Invoices exported for electronic billing are not included during batch printing. An option is included to print an information sheet explaining where fields on report pull data from SYSTOC.If you enter a negative one (-1) for the Pr, Revision Number: 933, Total Editing Time: 10d+00:56:13, Last Printed: Mon May 10 19:36:03 2010, Last Saved Time/Date: Tue Sep 24 16:39:07 2024, Create Time/Date: Sun Oct 10 19:37:48 1999, Number of Pages: 1, Number of Words: 0, Number of Characters: 0, Name of Creating Application: Seagate Crystal Reports | | Tue Sep 24 14:55 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 4.0, Author: System, Template: EZChrom Elite Method, Last Saved By: System, Name of Creating Application: EZChrom, Revision Number: 12, Create Time/Date: Tue May 16 15:39:06 2017, Last Saved Time/Date: Tue May 16 15:39:07 2017, Last Printed: Tue Mar 16 18:56:07 1999, Number of Pages: 0, Number of Words: 0, Number of Characters: 0, Security: 0 | | Tue Sep 24 13:54 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 5.1, Author: System, Template: EZChrom Elite Data File, Last Saved By: System, Name of Creating Application: EZChrom, Revision Number: 1, Create Time/Date: Mon Jun 26 12:11:43 2017, Last Saved Time/Date: Mon Jun 26 12:11:43 2017, Last Printed: Mon Jun 26 12:11:43 2017, Number of Pages: 0, Number of Words: 0, Number of Characters: 0, Security: 0 | | Tue Sep 24 08:53 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 10.0, Code page: 1252, Title: _ daSla, Author: Vovik, Template: Normal, Last Saved By: Toko..= Toko..=, Revision Number: 56, Name of Creating Application: Microsoft Office Word, Total Editing Time: 05:40:00, Create Time/Date: Sat Oct 27 13:34:00 2007, Last Saved Time/Date: Sat Sep 19 08:49:00 2020, Number of Pages: 14, Number of Words: 2693, Number of Characters: 15354, Security: 0 | | Tue Sep 24 08:33 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 10.0, Code page: 1252, Author: Windows User, Template: Normal, Last Saved By: Mariana Alcure, Revision Number: 2, Name of Creating Application: Microsoft Office Word, Total Editing Time: 01:00, Last Printed: Mon Oct 15 18:29:00 2018, Create Time/Date: Wed Oct 17 01:53:00 2018, Last Saved Time/Date: Wed Oct 17 01:53:00 2018, Number of Pages: 4, Number of Words: 1323, Number of Characters: 7145, Security: 0 | | Mon Sep 23 16:25 | Composite Document File V2 Document, Little Endian, Os: MacOS, Version 6.14, Code page: 10000, Author: Miriam Karamoko, Template: Normal.dotm, Last Saved By: Miriam Karamoko, Revision Number: 1, Name of Creating Application: Microsoft Office Word, Create Time/Date: Tue Aug 13 19:24:00 2024, Last Saved Time/Date: Wed Aug 14 02:29:00 2024, Number of Pages: 1, Number of Words: 0, Number of Characters: 0, Security: 0 | | Mon Sep 23 12:04 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 10.0, Code page: 1252, Title: PT CFDI 4.0, Author: CASA, Last Saved By: CASA, Revision Number: 1, Name of Creating Application: Microsoft Project, Create Time/Date: Fri Sep 22 16:52:00 2023, Last Saved Time/Date: Fri Sep 22 18:31:00 2023, Security: 0 | | Mon Sep 23 09:00 | Composite Document File V2 Document, Little Endian, Os: Windows, Version 10.0, Code page: 1252, Author: Allen | Previous page | Next page |
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