Unassigned Payments
Additional Payments
| Date of Service | Transaction Type | Payment Code | Insurance | Amount | Provider | Location | |
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| Total | $00.00 | ||||||
| Unallocated Amount | Total Payment | ||
|---|---|---|---|
| COPAY | 200.00 | 600.00 | Insurance Balance: 204.56 |
| Insurance Overpayment | 0.00 | 0.00 | Patient Balance: 10.06 |
| Interest | 0.00 | 0.00 | |
| Medical Record | 0.00 | 0.00 |
| Deposit Date |
Transaction Type |
Payment Code |
Unallocated Amount |
Total Payment |
Payment Method |
Check/Credit Card Number | Location | Provider | Insurance | Comment | Date Created |
Created By | Date Updated |
Updated By | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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COPAY | $99,999.99 | $99,999.99 |
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09/24/2009 | James Miller | 09/24/2009 | James Miller | ||||||
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Interest | PRPT - REFUND PAYMENT | $99,999.99 | $99,999.99 |
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08/11/2008 | Chris Allan | 08/11/2008 | Chris Allan | |||||
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COPAY | $99,999.99 | $99,999.99 |
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11/23/2008 | Mark Wallis | 11/23/2008 | Mark Wallis |
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