Billing Version 0.0089897
 
11/11/2018   11:22:10 AM
2 records shown
 
Company
Code
Posting
Date
Alternate
Patient ID
Referring
Patient ID
Patient Name
Transaction
Amount
Payment
Method
Transaction
Type
Date of
Birth
Location
Resend
Status
Error Message
Transaction
ID
Approval
Number
User ID
Message
Control ID
00989 05/02/2017 0956760 7867656 Spartan Sienna 10.65 Cash 11/03/1990 BMS LOCB Success S 483 667 bms admin 2342426435
00782 05/02/2017 0956760 7867656 Spartan Sienna 10.00 Cash 11/03/1990 BMS LOCB Resend E 483 667 bms admin 2342426435