| Date and Time Added | Billing Period End date | Elapsed | Visit_Date | Payer | Patient First | Patient Last | Agency | Login |
|---|---|---|---|---|---|---|---|---|
| #dateTimeFormat(Record_Creation_Date,"mm/dd/yy HH:nn")# | #dateFormat(bill_period_enddate,"mm/dd/yyyy")# | #Elapsed# |
#dateFormat(Visit_Date,"mm/dd/yyyy")# | #Pay_Name# | #Pt_Last# | #Pt_First# | #Agency_Name# | #Agency_Login# |