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Chris Allan

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Highgate Private Hospital


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Patient Name :

Mr. Chris J Allan

Centurion House, 3rd Floor,	Phone : 989-876-7760
37 Jewry Street,	Work Phone : 989-876-4456
London	Email : Chris.Allan@email.com
EC3N 2ER

Patient ID :

008988 (007860)

NHS Number :

0078777

Date of Birth :

02/03/1974

Gender :

Male

Insurer :

CAB Havering

Policy Number :

008975555

Payment No. :	Payment Date :	Pay By :
Amount £ :	Payment Mode :	Lodgment No. :
Comments :

Reversal Details

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Transfer Payment

Patient ID :

Name :

Peterson, Mark Sam

NHS No. :

0045545

Reversal By : Dan.Sayer at 01/01/2016 11:00

Matched Invoices

Invoice Number	Date Time	Pay Code Parent	Insurer	Net Amount	Due Amount	Payment	Status
25150315 - 0001	15/03/2015 15:30	Bupa	Bupa International	£20.00	£10.00	£10.00	Unpaid
25150501 - 0025	01/05/2015 16:20	AXA PPP Healthcare	Cigna	£5.00	£5.00	£0.00	Unpaid

Note : All matched invoices will be updated and payment details will be removed.