NCPI Windows Native

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Filtering Current Payment Splits

Patients

Providers

Amt Min

Amt Max

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Patients

Providers

From/To Dates:

Type

Splits

Current Payment Splits

Prov	Patient	Code	Type	Amount
Dr. Beesley	Williams, Maya	T1356	Proc: PerEx	55.00
Dr. Hall	Williams, Maya	T3541	Proc: PerEx	72.00

Prov

Patient

Code

Type

Amount

Dr. Beesley

Williams, Maya

T1356

Proc: PerEx

55.00

Dr. Hall

Williams, Maya

T3541

Proc: PerEx

72.00

Outstanding

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Outstanding Charges

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Date	Patient	Prov	Code	Thl	Type	AmtOrig	AmtEnd
04/09/2025	Williams, Maya	Dr. Beesley	T1356		Proc: PerEx	55.00	0.00

Date

Patient

Prov

Code

Thl

Type

AmtOrig

AmtEnd

04/09/2025

Williams, Maya

Dr. Beesley

T1356

Proc: PerEx

55.00

0.00