External Payment Plan Amount

Description	Patient	Responsible Party	Account #	Balance Requiring Action	Arrangement Amount	Remaining Amount
{{::data.ClientName}}	{{::data.PatientName}}	{{::data.ResponsibleParty}}	{{::data.AccountNumber}}	{{::data.BalanceRequiringAction\|currency}}	{{::data.ArrangementAmount\|currency}}	{{::data.RemainingBalance\|currency}}

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