insbluebooknum | trial_proccodenum_2 | carriernum | plannum | groupnum | trial_inspayamt_6 | allowedoverride | datetentry | procnum | trial_procdate_10 | claimtype | claimnum |
---|
insbluebooknum | trial_proccodenum_2 | carriernum | plannum | groupnum | trial_inspayamt_6 | allowedoverride | datetentry | procnum | trial_procdate_10 | claimtype | claimnum |
---|