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WBCN          UIAN                Name                               SSN                   Inj  Date                                Ins. File

0400xxxx      0039202004      HARM,CARL F               000-55-8002      04/01/2004      Updated
97 Required Claim NCCI doesn't match Coverage Policy NCCI

00000000      0067272005      Pherson,Susan                  000-55-8001      04/01/2004      Rejected
75 Mandatory Correction to a Claim requires WCBN
84 Mandatory WCBN doesn't exits

04107545      0067117000      Fasley,Jason P                 000-55-8002       04/05/2004      Created

04111111      0067272005      Gagon,David                    000-55-8007      04/05/2004      Created

04101111      0069130003      Lakely,Elizabeth               000-55-8003      04/01/2004      Created
98 Required Employee's last name doesn't match WC, employee changes NOT accepted
99 Required Employee's DOB doesn't match WC, employee changed NOT accepted
87 Required 17. Location address ZIP is MISSING

96033330      0069202004      FIELD,RAYMO              000-55-8002      06/06/1996      Created
97 Required Claim NCCI doesn't match Coverage Policy NCCI

04007552      0068366003      ALEXANDER,DONAL  000-55-8005      04/04/2004      Created

7 Total First Reports received
5 First Reports Created
1 First Reports Updated
1 First Reports Rejected For Mandatory Errors