visitDate: 2008-08-29 11:00:00-0700

billStatus: Paid

currentCarrier: 0

patientVisitId: 139

doctorId: Practitioner/1530520474000010

facilityId: Organization/DF-7

companyId: Organization/DF-6

detail

• balance: 0.00
• TotalBalance: Total Balance

detail

• balance: 0.00
• InsuranceBalance: Insurance Balance

detail

• balance: 0.00
• PatientBalance: Patient Balance

detail

• balance: 0.00
• Deposit: Patient Deposit

financialClassMid: 1846

identifier: Unspecified Identifier/OV000140

status: Active

type: patient billing account

subject: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

servicePeriod: 2008-08-29 11:00:00-0700 --> 2008-10-24 00:00:00-0700

owner: Organization/DF-7

Guarantors