| Patient | MRN | Assessment | Billing Period | Output | Invoice ID | Date Billed | Date Paid | Amount Paid | claim Status | Adjustment | Delete | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| #Pt_Last#, #Pt_First# | #Pt_Agy_ID# |
|
#POUT# | #Invoice_ID# | #DateFormat(DateSent,"mm/dd/yy")# | #DateFormat(paid_date,"mm/dd/yy")# | #DollarFormat(paid)# |
style="color:red; font-weight:bold;" |
#DollarFormat(wOff)# |
No Payments were found.