Billing Version 0.0089897

Case Exception Type

Company
Code
Practice
Location
Exception
Type
Record
ID
EMR Patient
Number
First Name
Last Name
Date of
Birth
Insurance
Policy Number
Group
Number
PST
Coverage
Transaction
Date
100 BMS Practices BMS Location Patient 00878 0034535354 James Miller 11/10/1976 Max Insurance 008798798 345 06/09/2016
100 BMS Practices BMS Location Patient 00878 0034535354 James Miller 11/10/1976 Max Insurance 008798798 345 06/09/2016