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/ JCSM Shareware Collection 1996 September / JCSM Shareware Collection (JCS Distribution) (September 1996).ISO / medhelth / 13770b01.zis / SCREEN.005 < prev    next >
Text File  |  1995-07-12  |  2KB  |  26 lines
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  2. 07/12/9╔═══════════════╤════════════════════════════════════════════════╗0:23:50
  3. ╔══════║ Invoice       │ Doctor....                                     ║══════╗
  4. ║  Acco║ No.  10074    │ Table.....                                     ║   Int║
  5. ║   402║ Date          │ Code                                           ║      ║
  6. ╟──────╟───────────────┴────────────────────────────────────────────────╢──────╢
  7. ║ H: 21║ Rec/Adj  Amount:           Ck.#:           Ins. Co.:           ║lance ║
  8. ║ W:   ║                                                                ║50.00 ║
  9. ╚══════╠════════════════════════════════════════════════════════════════╣══════╝
  10. ** Last║     Ins. Co. #1: MEDCAREB Medicare Part B                      ║Balance
  11.    Date║     Ins. Co. #2: 19009    Humana Claims Office                 ║    Due
  12.  11/02/╚════════════════════════════════════════════════════════════════╝ 260.00
  13.  11/25/92 10074 3000     Adj Credits                             -57.36   202.64
  14.  11/25/92 10074 2000     MEDB HOSP 10(CK#89039807)  -162.11                40.53
  15.  12/02/92 10074 2000     HUMANA HOSP 10(CK#450517)   -40.53                 0.00
  16.  03/23/93 10074 5000     Bad Debts                               -50.00   -50.00
  17.                           ** end of patient ledger **                           
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  24.  (P)atient  (R)eceipt's  (L)edger  (B)ill Ins  (N)otes  (E)OB codes  <ESC>=Exit 
  25.      Post receipts to this patients ledger.                                     
  26.