Chris Allan
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Patient
: Mike Miller : Account Summary : Edit
Personal Details
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Medical History
Insurer
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History
Account Details
Patient ID :
008988 (007860)
Full Name :
Mr. Chris J Allan
NHS Number :
0078777
Gender :
Male
Date of Birth :
02/03/1974
Phone :
989-876-7765
Invoiced Charges
Uninvoiced Charges
Payment Receipts
Balance
Patient
£200.00
£0.00
£300.00
- £100.00
Insurance
£0.00
£1887.00
£0.00
£1887.00
Negative amount denotes credit balance
Invoices
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Barnet + Chase Farm
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Invoice Number
Date
Insurer
Type
Invoice Amount
Paid Amount
Due Amount
Status
Pay
20150315-005
15/03/2015 11:00
Barnet + Chase Farm
General
£200.00
£200.00
£0.00
Paid
20150315-006
15/03/2015 11:00
Patient
Misc.
£100.00
£0.00
£100.00
Unpaid
Charge List for Invoice 20150315-005
Charge Date
Charge Group
Charge Code
Visit Type
Activity Date
Discharge Date
Resource
Physician
Package
Quantity
Net Total
31/08/2015
PF
20 - Professional Fee
Outpatient
Outpatient Room 1
Mark Miller
1
£250.00
31/08/2015
PF
10 - Anesthetist
Outpatient
31/08/2015 20:00
Outpatient Room 1
Mark Miller
1
£20.00
31/08/2015
Outpatient Charges
ECGR - ECG Record
Outpatient
31/08/2015 20:00
Mark Miller
1
£1,297.00
08/06/2015
CHEM
999010 - High Cost Drugs
Inpatient
06/08/2015 16:13
Mark Miller
2
£104.00
08/06/2015
CT
30 - 3 Parts
Inpatient
06/08/2015 16:13
Mark Miller
1
£300.00
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March 14, 2016