STAT Claim Status
As of: mm/dd/yyyy
Status: DENIED
Member
SSN Claim Number		 Benefits
Start		 Approved
Through		 Status Reason
LOU LAWSON
xxx-00-1111 / 00010001		   mm/dd/yyyy INCORRECT CLAIM SET UP
Status: NOT COMPLETE
Member
SSN Claim Number		 Benefits
Start		 Approved
Through		 Status Reason
LARRY SMITH
xxx-00-3333 / 00030003		     NEED EMPLOYER/PHYSICIAN STATEMENTS