Claims

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covitrcnada

ClaimId,Diagnosis,PatientId,ServiceDate,ClaimDate,Facility,provider
90001,286.3,10001,1/12/2006,1/13/2006,800001,700001
90002,728.11,10001,1/12/2006,1/13/2006,800001,700001
90003,1169.92,10001,1/12/2006,1/13/2006,800001,700001
90004,1611.73,10001,1/15/2006,1/16/2006,800001,700001
90005,2053.54,10001,1/15/2006,1/16/2006,800001,700001
90006,2495.35,10003,1/23/2006,1/24/2006,800001,700002
90007,2937.16,10003,1/23/2006,1/24/2006,800001,700002
90008,3378.97,10003,1/14/2006,1/15/2006,800001,700002
90009,3820.78,10003,1/14/2006,1/15/2006,800001,700002
90010,728.11,10003,1/15/2006,1/16/2006,800001,700002
90011,610.2,10003,1/15/2006,1/16/2006,800001,700002
90012,492.29,10006,1/1/2006,1/2/2006,800001,700001
90013,374.38,10006,1/1/2006,1/2/2006,800001,700001
90014,256.47,10006,1/1/2006,1/2/2006,800001,700001
90015,138.56,10006,1/1/2006,1/2/2006,800001,700001
90016,20.65,10006,1/1/2006,1/2/2006,800001,700001
90017,437.8,10006,1/1/2006,1/2/2006,800001,700001
90018,368.54,10012,1/2/2006,1/3/2006,800001,700002
90019,368.54,10012,1/5/2006,1/6/2006,800001,700002
90020,368.54,10012,1/10/2006,1/11/2006,800001,700002
90021,368.54,10012,1/20/2006,1/21/2006,800001,700002
90022,368.54,10012,1/21/2006,1/22/2006,800001,700002
90023,2495.35,10014,1/15/2006,1/16/2006,800001,700001
90024,861.22,10014,1/1/2006,1/2/2006,800001,700001
90025,299.28,10015,1/15/2006,1/16/2006,800001,700002
90026,728.11,10015,1/15/2006,1/16/2006,800001,700002
90027,1156.94,10015,1/15/2006,1/16/2006,800001,700002
90028,1585.77,10015,1/15/2006,1/16/2006,800001,700002
90029,2014.6,10015,1/15/2006,1/16/2006,800001,700002
90030,861.22,10016,1/1/2006,1/2/2006,800001,700001
90031,2495.35,10018,1/16/2006,1/17/2006,800001,700002
90032,2937.16,10018,1/16/2006,1/17/2006,800001,700002
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