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BILLS
Total Bills: 13. Currently viewing page of 1
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Bill ID
 Insured Name Rendering Provider Insurance ID DOB Svc Date Amount Payor Payor Name Location Pat Acct# Batch
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 AIG Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View
Failed Processing 02/10/11 A37YH566

Doe,

Sally

 Doctor Mark WE99999 07/06/33 01/14/97 $300.00 WC312 CHUBB SONS Medical Arts A37YH566 View