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Directory Results for Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 Independent Bill Review Final Determination Reversed 7/11/2014 IBR Case Number: Claim Number: Claims Administrator: Date(s) of service: Provider Name: Employee Name: Disputed Codes: - - to Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 Independent Bill Review Final Determination Reversed 7/30/2014 IBR Case Number: Claim Number: Claims Administrator: Date(s) of service: Provider Name: Employee Name: Disputed Codes:

Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 Independent Bill Review Final Determination Reversed 7/11/2014 IBR Case Number: Claim Number: Claims Administrator: Date(s) of service: Provider Name: Employee Name: Disputed Codes: - -
Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 Independent Bill Review Final Determination Reversed 7/30/2014 IBR Case Number: Claim Number: Claims Administrator: Date(s) of service: Provider Name: Employee Name: Disputed Codes: