Billing Version 0.0089897
 
 
11/11/2018   11:22:10 AM
6 records shown
 
Patient ID
Patient
Location Name
Transaction
Type
Payment Code
Amount
Money
Type
Check / Credit
Card Number
User
Date
Deposit
Date
Posting
Batch Number
Alternate
Patient ID
Payment ID
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $0.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $50.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $0.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $50.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $0.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
1000912 COSSIN, GWEN OSI Somerset PCON-Insurance Payment Contact $50.00 Check 2070053245 GREEN, ABBIE 02/13/2017 02/13/2017 02/13/2017-AG 1000912 0
Total $150.00