Chris Allan  
 
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Patient ID :
 
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   Payments   Uninvoiced  
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  Invoice Number Date Insurer Type Invoice Amount Paid Amount Due Amount Status Pay        
Charge List 20150315-005 15/03/2015 11:00 Barnet + Chase Farm General £200.00 £200.00 £0.00 Paid  
Charge List 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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