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/ JCSM Shareware Collection 1996 September / JCSM Shareware Collection (JCS Distribution) (September 1996).ISO / medhelth / 13770b01.zis / SCREEN.004 < prev    next >
Text File  |  1995-07-12  |  2KB  |  26 lines
  1.                                                                                 
  2. 07/12/95                   POST RECEIPTS/ADJUSTMENTS                    10:22:58
  3. ╔══════════╤════╤══════════════════════════════════════════════════════════════╗
  4. ║  Account │Code│ Prefix     Last                             First         Int║
  5. ║   402.00 │ 04 │            Acebes                           Josephine        ║
  6. ╟──────────┴────┴──────┬───────────────────────────────────────────────────────╢
  7. ║ H: 214/767-338  Ext  │  Current  Over 30  Over 60  Over 90 Over 120  Balance ║
  8. ║ W:                   │   -50.00     0.00     0.00     0.00     0.00   -50.00 ║
  9. ╚══════════════════════╧═══════════════════════════════════════════════════════╝
  10. ** Last receipt: 12/02/92    40.53 **                Insurance  Patient  Balance
  11.    Date   Inv.# CPT/Ck# Description                  Amount CD   Amount      Due
  12. >11/╔═════════════════════════════════════════════════════════════════════╗60.00
  13.  11/║        Date   Invoice   CPT                                         ║02.64
  14.  11/║      11/02/92  10074  6001     HOSP 10/23/92                        ║40.53
  15.  12/║                                                                     ║ 0.00
  16.  03/║                     Total    -----Liability------                   ║50.00
  17.     ║                    Charge    Insurance    Patient                   ║     
  18.     ║                     260.00      100.00     160.00                   ║     
  19.     ║  Adjustment                                                         ║     
  20.     ║  Code Description                                                   ║     
  21.     ║   01  ** INVALID ADJUSTMENT CODE **                                 ║     
  22.     ║                                                                     ║     
  23.     ╚═════════════════════════════════════════════════════════════════════╝     
  24.                                                                                 
  25.      (P)ost adjustment  pgup   pgdn  (D)elete receipt/adj.  <ESC>=Exit      
  26.