Spreadsheet: 758332d1638820575-find-multiple-payments-and-pull-details-app-test-1
Sheet: PAYMENT INFO DETAILS

Customer Name | Other Ref # | Payment Username | Payment Entered | Payment Received | Claim Primary Payer Name | Payment Check # | Charge Claim ID | Patient ID | Patient Full Name | Charge CPT Code | Level of Care | Charge Rev Code | Units | Charge From Date (Min) | Charge To Date ([NAME]) | Payment Allowed Amount (Sum) | Deductible Amount (Sum) | [NAME] (Sum) | Insurance Paid Amount (Sum)
TEST 1 | NOV2020 | POSTER | 2020-11-04 00:00:00 | 2020-11-04 00:00:00 | UNITED HEALTHCARE | EFT 1 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | 1389.37 | 0 | 0 | 1389.37
TEST 1 | NOV2020 | POSTER | 2020-11-04 00:00:00 | 2020-11-04 00:00:00 | UNITED HEALTHCARE | EFT 1 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | 1389.37 | 0 | 0 | 1389.37
TEST 1 | NOV2020 | POSTER | 2020-11-12 00:00:00 | 2020-11-12 00:00:00 | UNITED HEALTHCARE | EFT 2 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | 1110.63 | 0 | 0 | 1110.63
TEST 1 | NOV2020 | POSTER | 2020-11-12 00:00:00 | 2020-11-12 00:00:00 | UNITED HEALTHCARE | EFT 2 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | 1110.63 | 0 | 0 | 1110.63
TEST 1 | JAN2021 | POSTER | 2021-01-15 00:00:00 | 2021-01-14 00:00:00 | UNITED HEALTHCARE | EFT 3 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | -272.91 | 0 | 0 | -272.91
TEST 1 | JAN2021 | POSTER | 2021-01-15 00:00:00 | 2021-01-14 00:00:00 | UNITED HEALTHCARE | EFT 3 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | -272.92 | 0 | 0 | -272.92
TEST 1 | JAN2021 | POSTER | 2021-01-15 00:00:00 | 2021-01-15 00:00:00 | UNITED HEALTHCARE | EFT 4 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | -367.82 | 0 | 0 | -367.82
TEST 1 | JAN2021 | POSTER | 2021-01-15 00:00:00 | 2021-01-15 00:00:00 | UNITED HEALTHCARE | EFT 4 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | -367.83 | 0 | 0 | -367.83
TEST 1 | JAN2021 | POSTER | 2021-01-20 00:00:00 | 2021-01-20 00:00:00 | UNITED HEALTHCARE | EFT 5 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | -1103.48 | 0 | 0 | -1103.48
TEST 1 | JAN2021 | POSTER | 2021-01-20 00:00:00 | 2021-01-20 00:00:00 | UNITED HEALTHCARE | EFT 5 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | -1103.48 | 0 | 0 | -1103.48
TEST 1 | JAN2021 | POSTER | 2021-01-21 00:00:00 | 2021-01-21 00:00:00 | UNITED HEALTHCARE | EFT 6 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | -755.78 | 0 | 0 | -755.78
TEST 1 | JAN2021 | POSTER | 2021-01-21 00:00:00 | 2021-01-21 00:00:00 | UNITED HEALTHCARE | EFT 6 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | -755.78 | 0 | 0 | -755.78
TEST 1 | MAR2021 | POSTER | 2021-03-31 00:00:00 | 2021-03-31 00:00:00 | UNITED HEALTHCARE | EFT 7 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-13 00:00:00 | 2020-09-13 00:00:00 | 1389.37 | 0 | 0 | 1389.37
TEST 1 | MAR2021 | POSTER | 2021-03-31 00:00:00 | 2021-03-31 00:00:00 | UNITED HEALTHCARE | EFT 7 | 144161710 | 39553493 | TEST PATIENT | [NAME] | [NAME] | 0126 | 1 | 2020-09-14 00:00:00 | 2020-09-14 00:00:00 | 1389.37 | 0 | 0 | 1389.37