Patient Name /
Patient ID
Apt. ID
Visit ID
Apt. Date /
Apt. Time
Department /
Doctor
Payment Type Claim Status Claim#
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Denied 123456 View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Accepted View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Submited 123456 View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P View
Patient Name /
Patient ID
Apt. ID
Visit ID
Apt. Date /
Apt. Time
Department /
Doctor
Payment Type Claim Status Claim#
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Denied 123456 View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Accepted View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P Submited 123456 View
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P View
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