Balance requiring action (Enter Payment Amounts)

{{::data.ClientName}}
Patient Responsible Party Account # Account # Claim Number Date of Service Balance Discount Amount Payment Amount discount information
  • {{::payment.hoverDiscount}}
  • {{::sub.restricted_msg ? sub.restricted_msg : payment.restricted_msg }}
Total: {{::payment.TotalBalanceAmount|currency}} {{payment.TotalDiscount|currency}} {{payment.TotalPlanAmount|currency}}