Billing Version 0.0089897

Patient Exception Type

Company
Code
Practice
Location
Exception
Type
Record
ID
EMR Patient
Number
First Name
Last Name
Date of
Birth
Address
City
State
Zip
Code
Phone
Gender
Transaction
Date
100 BMS Practices BMS Location Patient 00878 0034535354 James Miller 11/10/1976 33, Crossings Road Upland CA 89789 787-909-8987 Male 06/09/2016
100 BMS Practices BMS Location Patient 00878 0034535354 James Miller 11/10/1976 33, Crossings Road Upland CA 89789 787-909-8987 Male 06/09/2016