Account Number
Patient Name
MRN
DOB
Admit Date
Account #
Guarantor Number
DOB Account Number Med Rec Admit Date Discharge Date Current balance
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00
05/03/20225 # 160296539 # 418137 06-12-2019 06-12-2022 $1,488.00