Payment method :{{"ACH"==thirty.paymentRecords.CardData.PaymentType?"Electronic Check":"CC"==thirty.paymentRecords.CardData.PaymentType?"Credit Card ":thirty.paymentRecords.CardData.PaymentType}} {{thirty.paymentRecords.CardData.formattedCard}}
{{thirty.userDetails.EmailId}}
| Description | Patient | Responsible Party | Account # | Claim Number | Balance Requiring Action | Remaining Amount |
|---|---|---|---|---|---|---|
| Total |
| Sl No. | Scheduled Date | Amount |
|---|---|---|
| {{sub.ScheduledDate|date:'MM/dd/yyyy'}} (Down Payment) |
| Total Payment - |
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