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Qualifier
   Prof Service Line Details
   PA/DVS Request
   Real Time Prof Claim Status Response Details
   State License Number
   Claim Status Response Details
   Claim Status Response Details
   PA/DVS Revise/Cancel Request

Radiation Therapy
Radio Buttons
   Edit Existing Provider
   PA/DVS Request
   Dent Physician Information
   Provider Search Selection
   PDN PA Items
   Edit Access Privileges
   DME PA Items
   PA/DVS Confirm Request
Radioactive Implants Unit
   Entity Identifier Code List
   Entity Identifier Code List
Radiological Services
    number
Rate
   Institutional Claim Information
   Claim Status Code List
   Prior Approval Roster Search
   Claim Status Code List
    Medicare
Rate Codes
   Institutional Claim Information
   Claim Status Code List
   Claim Status Code List
   Prior Approval Roster Search
Re-adjudication
Real Time
   Real Time Claim Response Activity Worklist
   Real Time Prof Claim Status Response Details
   Entering Claims
   Real Time Professional Claims
   What is New in ePACES
   What is ePACES
   Real Time Responses
   Build Batch
   Claim Confirmation
   Claim Status Code List
   Security Areas
   Claim Status Code List
   Determine Eligibility
    entered
Real Time Claims
   Real Time Claim Response Activity Worklist
   Real Time Responses
   Real Time Prof Claim Status Response Details
   Entering Claims
   Build Batch
   What is ePACES
Real Time Professional
   Entering Claims
   Build Batch
   Find Existing Claim
   Real Time Claim Response Activity Worklist
   Real Time Professional Claims
   What is New in ePACES
   What is ePACES
Real Time Responses
   Security Areas
   Real Time Responses
Real-time Client Eligibility Request
Real-Time requests
   Claim Status Code List
   Claim Status Code List
Real-time Service Authorization
Reason Code
   Prof Enter Other Payer
   Inst Enter Other Payer
   Dent Enter Other Payer
   Institutional Claim Information
   Professional Claim Information
   Dental Claim Information
   Claim Status Code List
   Claim Status Code List
   Prof Service Line Adj Info
   Inst Service Line Details
   Dent Service Line Details
   Prof Service Line Details
   Dent Service Line Adj Info
   Inst Service Line Adj Info
Receive Test Report
   Entity Identifier Code List
   Entity Identifier Code List
    Party
Receiving
   Entity Identifier Code List
   PA/DVS Revise/Cancel Request
   SA Cancel
    Location
Recertification
   Review Eligibility Details
   DVS Response Details
   Claim Status Code List
   Claim Status Code List
Recertification Date
   Review Eligibility Details
   DVS Response Details
   Claim Status Code List
   Claim Status Code List
Recertification Date Count CR702
   Claim Status Code List
   Claim Status Code List
Recreational Therapy Services
   Entity Identifier Code List
   Entity Identifier Code List
Reference Code
   Claim Status Code List
   Claim Status Code List
Reference Identification/Certification Number
   DVS Response Details
   SA Confirm Response Details
   PA/DVS Confirm Response Details
Referral
   Dent Service Line Details
   Prof Service Line Details
   Professional Claim Information
   Dental Claim Information
   Inst Physician Information
   Claim Status Code List
   Prof Physician Information
   Claim Status Code List
   Institutional Claim Information
   Service Authorization
Referral Date
Referral notes/orders/prescription
   Claim Status Code List
   Claim Status Code List
Referral Number
   Dent Service Line Details
   Prof Service Line Details
   Professional Claim Information
   Dental Claim Information
Referral/authorization
   Claim Status Code List
   Claim Status Code List
Referring
   Inst Physician Information
   Dent Physician Information
   Real Time Professional Claims
   Determine Eligibility
   Prof Physician Information
   Professional Claims
   General PA Information
   Dental_Claims
   General PA Information
Referring Physician
   Dent Physician Information
   Dent Service Line Details
   Prof Service Line Details
   Dental Claim Information
   Inst Physician Information
   Institutional Claims
   Service Authorization
Referring Provider
   DVS Request
   Prof Physician Information
   Determine Eligibility
   Inst Physician Information
   Entity Identifier Code List
   General PA Information
   General Information
   General PA Information
   Entity Identifier Code List
   Referring Provider
Registered Nurse
   Taxonomy and Service Type Codes
   State License Number
Rehabilitation
   Taxonomy and Service Type Codes
   Entity Identifier Code List
   Patient Status
   Entity Identifier Code List
Rehabilitation Facility
   Entity Identifier Code List
   Patient Status
   Entity Identifier Code List
Rehabilitation Inpatient Unit
   Entity Identifier Code List
   Entity Identifier Code List
Rehabilitation Outpatient Services
   Entity Identifier Code List
   Entity Identifier Code List
Reimbursement Rate
   Claim Status Code List
   Claim Status Code List
Reject Reason
   DVS Activity Worklist
   Eligibility Activity Worklist
   DVS Response Details
   Claim Status Code List
   PA/DVS Confirm Activity Worklist
   Claim Status Code List
   SA Confirm Response Details
   PA/DVS Confirm Response Details
Reject Reason Code
   Claim Status Code List
   DVS Response Details
   Claim Status Code List
   SA Confirm Response Details
   Eligibility Activity Worklist
   PA/DVS Confirm Response Details
Rejected
   PA/DVS Confirm Activity Worklist
   Claim Status Code List
   Entering PA Requests
   Change Provider
   SA Confirm Response Details
   What is New in ePACES
   Claim Status Code List
   Professional Claim Information
   PA/DVS Activity Worklist
   Claim Status Category Codes
   Claim Status Category Codes
   Eligibility Activity Worklist
   PA/DVS Confirm Response Details
Rejection
   PA/DVS Confirm Activity Worklist
   SA Confirm Response Details
   What is New in ePACES
Related Causes
   Professional Claim Information
   Dental Claim Information
   PA/DVS Request
   Claim Status Code List
   Claim Status Code List
   PA/DVS Revise/Cancel Request
Related Causes Code
   Claim Status Code List
   Claim Status Code List
Related Equipment Dealer
Related Surgery Date
   PA/DVS Request
   PDN PA Items
   PA/DVS Revise/Cancel Request
Related Surgical Procedure
   PA/DVS Request
   PDN PA Items
   PA/DVS Revise/Cancel Request
Relates
   Dent Service Line(s)
   Inst Service Line(s)
   Prof Service Line(s)
   PA/DVS Request
   Claim Status Code List
   Prof Service Line Adj Info
   Institutional Claim Information
   Add New User
   General Claim Information
   Prof View Other Payers
   Inst View Other Payers
   Institutional Claims
   PACES vs ePACES
   Entering Claims
   Dental_Claims
   Real Time Professional Claims
   PDN PA Items
   Edit Access Privileges
   Claim Status Code List
   Professional Claim Information
   Dental Claim Information
   Dent Other Payers
   Category of Service
   Prof Other Payers
   Inst Service Line Adj Info
   PA/DVS Revise/Cancel Request
   Provider Relations Intro
   Professional Claims
   PA/DVS Confirm Request
   Prof Diagnosis
   Prof Service Line Details
    NY Medicaid
       Dent Service Line(s)
       Inst Service Line(s)
       Prof Service Line(s)
Release
   Institutional Claim Information
   Inst Enter Other Payer
   Prof Enter Other Payer
   DVS Request
   Professional Claim Information
   Dental Claim Information
   Dent Enter Other Payer
   Claim Status Code List
   General PA Information
   Claim Status Code List
   General PA Information
   PA/DVS Revise/Cancel Request
    Information
       Institutional Claim Information
       Inst Enter Other Payer
       Prof Enter Other Payer
       DVS Request
       Professional Claim Information
       Dental Claim Information
       Dent Enter Other Payer
Religious Non-medical Health Care Institutions
Remaining
   Dent Service Line(s)
   Inst Service Line(s)
   Prof Service Line(s)
   Review Eligibility Details
    Service Lines
       Dent Service Line(s)
       Inst Service Line(s)
       Prof Service Line(s)
Remark Code
   Claim Status Code List
   Claim Status Code List
Remove Payer
Remove Provider
Rendering
   Dent Physician Information
   Real Time Professional Claims
   Claim Status Code List
   Prof Physician Information
   Professional Claims
   Dental_Claims
    pertaining
       Real Time Professional Claims
       Professional Claims
Rendering Physician
Rendering Provider
   Dent Physician Information
   Entity Identifier Code List
   Prof Physician Information
   Entity Identifier Code List
Rental Price
   Prof Service Line Details
   Claim Status Code List
   Claim Status Code List
Rental Unit Price Indicator
Replace
   General Claim Information
   View Existing Claim
   Build Batch
   Tab Controls
   Find Existing Claim
   Delete Existing Claim
   Claim Status Code List
   Edit Existing Claim
   Dent Service Line Details
   Prior Approval Items
   Claim Status Code List
Replace Claim
   General Claim Information
   Edit Existing Claim
   View Existing Claim
   Build Batch
   Tab Controls
   Find Existing Claim
   Delete Existing Claim
REPLACED
   Delete Existing Claim
   Edit Existing Claim
   View Existing Claim
Replacement
   Edit Existing Claim
   General Claim Information
   Dent Service Line Details
   Tab Controls
   Delete Existing Claim
   Claim Status Code List
   Claim Status Code List
Replacement Claim
   Tab Controls
   Delete Existing Claim
   Edit Existing Claim
Replacement claim requires
Replacement Date
Replacement/reason
Representing
   Dent Service Line Details
   Type of Bill
    Facility Type Code
    Type
Repriced Approved Ambulatory Patient Group
   Claim Status Code List
   Claim Status Code List
Repriced Line Item Reference Number
   Claim Status Code List
   Claim Status Code List
Repriced Saving Amount
   Claim Status Code List
   Claim Status Code List
Repricing
    Per Diem
Reproductive Health Services
   Entity Identifier Code List
   Entity Identifier Code List
Request Sent
Requested
   DVS Request
   DVS Activity Worklist
   Determine Eligibility
   Claim Status Activity Worklist
   Eligibility Activity Worklist
   DVS Response Details
   Real Time Claim Response Activity Worklist
   Status Inquiry Request
   Add New Provider
   General Claim Information
   Taxonomy and Service Type Codes
   Maintain Provider Information
   Remove Provider
   Security Areas
   Review Eligibility Details
   Edit Existing Provider
   What is New in ePACES
   What is ePACES
   Claim Status Code List
   Claim Status Category Codes
   Soap Certificate Request
   PA/DVS Confirm Activity Worklist
   Professional PA Items
   Claim Status Code List
   Entering PA Requests
   Drug PA Items
   Dental PA Items
   Bed Res - NH PA Items
   SA Confirm Activity Worklist
   Claim Status Activity Worklist
   Transportation PA Items
   PA Roster Downloads Status
   Prior Approval Roster Search
   PA/DVS Cancel Response Details
   General PA Information
   Service Authorization
   PDN PA Items
   SA Confirm Response Details
   Status Inquiry Request
   Edit Current User
   General Information
   Prior Approval Items
   Professional Claim Information
   SA Activity Worklist
   General PA Information
   SA Cancel Response Details
   DME PA Items
   PA/DVS Revise/Cancel Request
   Claim Status Category Codes
   SA Cancel
   PA/DVS Confirm Request
   SA Confirm Request
   PA/DVS Confirm Response Details
   Browsing PA Responses
   PA/DVS Cancel or Revise Request
    Cancel
    DVS Approval
    Provider
    submit
Requested number
   Drug PA Items
   DME PA Items
Requested Period
Requested Service
   DVS Request
   Professional PA Items
   Drug PA Items
   Dental PA Items
   Bed Res - NH PA Items
   Transportation PA Items
   General PA Information
   PDN PA Items
   General Information
   Prior Approval Items
   General PA Information
   DME PA Items
Requesting Provider
   DVS Request
   Prior Approval Roster Search
   General PA Information
   General Information
   General PA Information
   PA/DVS Confirm Request
   SA Confirm Request
Requesting Provider Contact
   General PA Information
   General Information
   General PA Information
Requires
   Dent Service Line Details
   Inst Diagnosis/Procedure
   What is ePACES
   PA/DVS Request
   Inst Physician Information
   Claim Status Code List
   Prof Service Line Adj Info
   Status Inquiry Request
   Institutional Claim Information
   Entering PA Requests
   Logging In
   Review Submitter
   Edit Existing Claim
   Prof Enter Other Payer
   General Claim Information
   Dent Service Line(s)
   Inst Enter Other Payer
   Type of Bill
   Claim Status Activity Worklist
   Prof View Other Payers
   Provider Search Selection
   Inst View Other Payers
   Prof Service Line Details
   Inst Service Line(s)
   Prior Approval Roster Search
   General PA Information
   PACES vs ePACES
   Entering Claims
   Inst Other Payers
   Maintain Payer Information
   Service Authorization
   Prof Service Line(s)
   Dent Service Line Adj Info
   Edit Existing Provider
   Status Inquiry Request
   What is New in ePACES
   Claim Status Code List
   Professional Claim Information
   Dental Claim Information
   Dent Other Payers
   General PA Information
   Prof Physician Information
   Determine Eligibility
   Prof Other Payers
   Inst Service Line Adj Info
   DME PA Items
   Claim Status Activity Worklist
   Tab Controls
   PA/DVS Confirm Request
   Inst Service Line Adj Summary
   Dent Enter Other Payer
   Delete Existing Claim
   Inst Service Line Details
    all inpatient
Research Institute
   Entity Identifier Code List
   Entity Identifier Code List
Researched
   Claim Status Code List
   Claim Status Code List
   Entity Identifier Code List
   Entity Identifier Code List
    Insured ID/Group Policy Number
Residential Facility
Residential Treatment Facility
Respiratory Therapist Order
   PA/DVS Request
   DME PA Items
   PA/DVS Revise/Cancel Request
Respiratory Therapy Services
   Entity Identifier Code List
   Entity Identifier Code List
Respite Care Facility
   Entity Identifier Code List
   Entity Identifier Code List
Response - If
Response Descriptive Text
   DVS Activity Worklist
   Eligibility Activity Worklist
   PA/DVS Confirm Activity Worklist
Response Pages
   Hospital
   Browsing PA Responses
Responses
   Status Inquiry Response
   What is ePACES
   DVS Activity Worklist
   Eligibility Activity Worklist
   Real Time Claim Response Activity Worklist
   Soap Certificate Request
   PA/DVS Confirm Activity Worklist
   Status Inquiry Request
   Real Time Prof Claim Status Response Details
   SA Confirm Activity Worklist
   Hospital
   Claim Status Activity Worklist
   Claim Status Response Details
   PA/DVS Cancel Response Details
   Claim Status Inquiry
   Entering Claims
   Service Authorization
   Review Eligibility Details
   Claim Status Inquiry
   SA Confirm Response Details
   Status Inquiry Request
   Claim Status Response Details
   What is New in ePACES
   General Information
   SA Activity Worklist
   Determine Eligibility
   SA Cancel Response Details
   Claim Status Category Codes
   Claim Status Activity Worklist
   PA/DVS Revise/Cancel Request
   Claim Status Category Codes
   SA Cancel
   PA/DVS Confirm Request
   SA Confirm Request
   PA/DVS Confirm Response Details
   Browsing PA Responses
Responsibility
   Professional Claim Information
   Dental Claim Information
   Claim Status Code List
   Prof Enter Other Payer
   Inst Enter Other Payer
   Prof View Other Payers
   Inst View Other Payers
   Users and Security
   Claim Status Code List
   Dent Other Payers
   Prof Other Payers
   Dent Enter Other Payer
   Inst Service Line Details
   Dent Service Line Details
   Prof Service Line Details
    payer's level
       Professional Claim Information
       Dental Claim Information
Responsibility Amount
   Claim Status Code List
   Claim Status Code List
Responsible Party
   Entity Identifier Code List
   Entity Identifier Code List
Resubmit
   Claim Status Category Codes
   PA/DVS Confirm Activity Worklist
   Claim Status Code List
   SA Confirm Activity Worklist
   Claim Status Code List
   SA Activity Worklist
   PA/DVS Activity Worklist
   Claim Status Category Codes
   Eligibility Activity Worklist
Result
   Real Time Claim Response Activity Worklist
   PA/DVS Request
   Inst Physician Information
   Soap Certificate Request
   Unlock User Account
   PA/DVS Confirm Activity Worklist
   Claim Status Code List
   Status Inquiry Request
   Inactivate User
   Unlock User Account
   Add New Provider
   SA Confirm Activity Worklist
   Claim Status Activity Worklist
   Status Inquiry Response
   Change User Password
   Prof Service Line Details
   Edit Existing User
   Prior Approval Roster Search
   Entering Claims
   Review Providers
   User Search
   Status Inquiry Request
   Edit Access Privileges
   Status Inquiry Response
   Claim Status Code List
   SA Activity Worklist
   Promote User
   Real Time Responses
   Update Provider List
   Build Batch
   PA/DVS Activity Worklist
   DME PA Items
   Claim Status Activity Worklist
   PA/DVS Revise/Cancel Request
   Promote User
   Eligibility Activity Worklist
   Inactivate User
   Browsing PA Responses
Result Code
   DVS Activity Worklist
   Eligibility Activity Worklist
   PA/DVS Confirm Activity Worklist
Retry
   DVS Activity Worklist
   Eligibility Activity Worklist
   PA/DVS Confirm Activity Worklist
   SA Confirm Activity Worklist
   SA Activity Worklist
Return
   Delete Existing Claim
   Real Time Claim Response Activity Worklist
   PA/DVS Request
   PA/DVS Confirm Activity Worklist
   Professional PA Items
   Claim Status Code List
   Prof Service Line Adj Info
   Status Inquiry Request
   Entering PA Requests
   Drug PA Items
   Real Time Prof Claim Status Response Details
   Add New User
   Dental PA Items
   Bed Res - NH PA Items
   Prof Enter Other Payer
   General Claim Information
   Inst Enter Other Payer
   Add New Provider
   SA Confirm Activity Worklist
   Claim Status Activity Worklist
   Transportation PA Items
   Provider Search Selection
   Add New Payer
   Claim Status Response Details
   Edit Existing User
   Prior Approval Roster Search
   PA/DVS Cancel Response Details
   General PA Information
   Entering Claims
   Edit Existing Payer
   Review Eligibility Details
   Dent Service Line Adj Info
   Edit Existing Provider
   PDN PA Items
   SA Confirm Response Details
   User Search
   Status Inquiry Request
   Claim Status Response Details
   General Information
   Prior Approval Items
   Edit Access Privileges
   Claim Status Code List
   SA Activity Worklist
   General PA Information
   SA Cancel Response Details
   Build Batch
   Inst Service Line Adj Info
   Claim Confirmation
   PA/DVS Activity Worklist
   DME PA Items
   Claim Status Activity Worklist
   Tab Controls
   Eligibility Activity Worklist
   PA/DVS Confirm Request
   SA Confirm Request
   Dent Enter Other Payer
   PA/DVS Confirm Response Details
   Browsing PA Responses
   PA/DVS Cancel or Revise Request
Revenue Code
   Inst Service Line(s)
   Type of Bill
   Claim Status Code List
   Claim Status Code List
   Patient Status
   Inst Service Line Adj Info
Revenue Code 19X
Review Batch Details
Review Eligibility Details
Review Payers
Review Providers
Review Submitter
Reviewer Comments
reviewing
   Provider Search Selection
   Submit Batch
   PA Roster Downloads Status
    Contact Information
    Submit Claim Batch Confirmation
RN
   Category of Service
   Claim Status Code List
   Claim Status Code List
RN,PhD,MD
Room/LDRP Room
    Birthing
Rural Health Clinic
   Entity Identifier Code List
   Entity Identifier Code List

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