Billing Version 0.0089897

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2 of 2 records shown
Patient ID
Date of Service
Deposit Date
Payment
Payment Code
Adjustment
Adjustment Code
Transfer
Transfer Detail
From Insurance
Transfer to Payer
Payment Type
Batch
Adjustment Qualifier
Adjustment Reason
008768686 06/04/2020
9089
231468676 04/03/2020
9089