Payment Detail Report by Bed Days (DI) Payment Detail Report by Bed Days (DI) Input screen – Payment Detail Report by Bed Days (DI) Output screen – Report Description N/A Report Benefit N/A Required Parameters Activity Code PRC Number or PRC Start Date & End Date Report Format Scheduling Yes Agency UR Reports DI Provider Roles N/A Operation Roles N/A This information is provided by the within .
Payment Detail Report by Bed Days (DI) Payment Detail Report by Bed Days (DI) – Input screen Payment Detail Report by Bed Days (DI) – Output screen Report Description N/A Report Benefit N/A Required Parameters Activity Code PRC Number or PRC Start Date & End Date Report Format Scheduling Yes Agency UR Reports DI Provider Roles N/A Operation Roles N/A This information is provided by the within .
payment-detail-report-by-bed-days-di.docx