| A | B |
|---|
| Member's age | Provider/Member subsection |
| Letters we sent | Attachments subsection |
| Claim notes | Notes subsection |
| Xrays attached to claim | Claim information subsection-enclosures |
| Micro/image ID | Claim information subsection |
| COB savings | COB subsection |
| Category | Line item pricing subsection |
| Claim level Overrides | Overrides-Claim subsection |
| Line level overrides | Overrides-Line subsection |
| Class, Plan, Product | Product/prefixes subsection |
| Payee name | EOB/remittance subsection |
| User ID of claim processor | Status subsection |
