insfilingcode

trial_insfilingcodenum_1
trial_descript_2
eclaimcode
itemorder
trial_grouptype_5
trial_excludeothercoverageonpriclaims_6
1Commercial_InsuranceCI000
2* TRIAL* 100
3OtherNonFed* 200
4* T12300
5POS* 400
6EPO14500
7Indemnity15600
8* TRIAL * TRIAL * 700
9* T* 800
10BCBSBL900
11ChampusCH1000
12DisabilityDS1100
13FEPFI1200
14* THM1300
15LiabilityMedical* 1400
16MedicarePartBMB1500
17MedicaidMC1600
18ManagedCare_NonHMOMH1700
19OtherFederalProgramOF1800
20* TRIAL * TRIAL * 1900
21VeteransVA2000
22WorkersCompWC2100
23* TRIAL * TRIALZZ2200