EFTA00292244.pdf
📄 Extracted Text (49 words)
SIN ER
Date: 03/15/2018 1
Page:
Patient Name Chart Number.
Billing Tip*:
BALANCE
02/07/2018 0.00 0.00
02/08/2018 0.00 0.00
02/08/2018 31 35.00 35.00
02/21/2018 0.00 35.00
03108/2018 0.00 35.00
03/08/2018 31 425.00 480.00
03/08/2018 31 2400.00 2860.00
03/08/2018 0.00 2860.00
TOTAL PATIENT BALANCE AS OF 03115/2018: 2860.00 I
EFTA00292244
ℹ️ Document Details
SHA-256
8b61ae168aa56593d8406495ee1728d551d6b25d8e8c4dcf4f2914193c642b82
Bates Number
EFTA00292244
Dataset
DataSet-9
Document Type
document
Pages
1
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