Il Ex 2
Il Ex 2
Patient Accounts
Report Date
Statement Procedure Insurance Patient Account Past
Account Date Statement Age Amount Payment Responsibility Due
5102 12/29/2023 3045 2545
5103 1/10/2024 1404 964
5104 1/21/2024 2850 2350
5105 2/12/2024 1904 1700
5106 2/22/2024 4005 3850
5107 3/14/2024 3784 3084
5108 4/5/2024 2115 2115
Total # of Accounts
Average Procedure
Amount
Patient Responsibility