Payment Type Name Payment Type ID Start Date End Date Payment Type Status
Social Security 1234567890 01-01-2019 31-12-2019 Active Edit
Insurance 1234567890 01-01-2019 31-12-2019 Active Edit
Company Contract 1234567890 01-01-2019 31-12-2019 Active Edit
Self Pay 1234567890 01-01-2019 31-12-2019 Active Edit