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(1) member info: Member ID, Emirates ID, Contract package name;
(2) resubmission commentinsurance info: Contract package name;
(3) attachment;
(4) visit info: Encounter Typetype, Encounter Startstart, Encounter Endend;
(54) diagnosis diagnoses info: Type, Code; add / delete diagnosis
(5) resubmission comment;
(6) activity ) resubmission attachment;
(7) activities info: Type, Code, Tooth No's, Start Date, Quantity, Net, Clinician, Prior Auth.; add / delete activity.
Step 3a. Enter any text in Resubmis. comment. It is a mandatory field.
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