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Copy of Medical bill tracker
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Medical Bill Tracker Total billed 25.5 Total out-of-pocket paid 25.9 Total paid by insurance Total due p Date of Bill Billing Party Name Statement Number Description of Services Total Amount Billed Insurance #1 Amount Paid Insurance #2 Amount Paid Out-of-Pocket Expenses Paid Check Number Amount Due 08/25/2009 WALGREENS MEDS 6.95 0 0 6.95 CC 0 09/15/2009 WALGREENS MEDS 18.55 0 0 18.95 CC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Totals 25.5 25.9
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