Your Practice Name (523) VSS Medical Office System Run: Feb 24, 2003 +----------------------+ Page: 1 |ACCOUNT SUMMARY REPORT| +----------------------+ Last Insurance Patient's Name/ Inv - Balance Due -- Payment/ One / Three Account Home Phone Work Phone Age Insurance Patient Visit Dun Two W/C -------- --------------------------- -- -------- -------- -------- - ---- ---- 1 Helena Adells 0 87.40 113.60 03/07/02 N MC MD (412) 835-9415 03/07/2002 BS AR1 3 Peter King 4 .00 99.35 03/02/98 Y BS (412) 555-9158 01/12/1998 MD 4 Joyce Afish 0 50.00 .00 03/02/98 N BS (412) 555-4203 07/30/1998 AR5 5 Margaret Rabbini 2 3.00 53.94 02/17/98 Y MC (412) 555-9960 02/11/1998 AARP AR3 6 John Allentown 2 41.20 47.11 08/30/96 Y MC (412) 555-1193 08/22/1996 BS65 7 Vilma Racer 29 .00 06/10/97 Y BS (412) 555-0583 06/10/1997 10 Mary Jones 0 Y (412) 444-1212 (412) 888-2222