Visits Missing Payroll Code
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Visits Missing Payroll Code

Payer Type: #Replace(Form.PayerType, ",", ", ", "ALL")#

Patient Name SOC Date Visit Date
#Pt_Last#, #Pt_First# #Pt_Middle# #DateFormat(F176,"mm/dd/yyyy")# #DateFormat(Visit_Date,"mm/dd/yyyy")#

Total patients admitted: #Patient_Ctr# - for the period of #Form.From_Date# to #Form.To_Date#