Medical Billing Service in US

HE POLICY Insurance numb Date of birth TH INSURANCE CLAIM FORM Description ssion charge Turg Private room X - Ray cy ry Private room ER'S DETAILS First name ( s ) / surname / title Correspondence art + Medical BILLING STATEMENT Admission Date : August 14 , 2016 Discharge date : August 17 , 2016 Code 851000095 172001525 225647700 751004102 225000641 919566450 Amount 87.00 174.00 37.60 9.10 18.12 174.00 C / AC ON O MC + MR 7 4 1 00