What you owe
the practice fee, collected.
Paul Wallace paid Southeast Medical the $185 practice fee. The claim was filed out of network to Pinetree Health, Choice PPO. This page is a demo nothing is charged.
Practice fee
$185
Collected · claim filed out of network · balance $0
Illustrative receipt. No card is charged, and this page does not move the practice ledger.
Receipt
Southeast Medical
Paul Wallace · MRN 100481
- Visit
- Thursday · 9:00 AM
- Plan
- Pinetree Health · Choice PPO · out of network
- Description
- Practice fee · 99203
- Posted
- Mon
- Amount
- $185.00
Receipt · RCP-100481 · demo copy