Customer Name: ABC COMPANY
Billing Customer Number: 123456
Confirmation Number:
Payment ID: LB452445
Amount: $320.12
Payment Account:
Creation Date: 08/12/2014
Payment Date: 08/12/2014
Date Received: 08/12/2014
Status: Complete


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Invoices Included in Payment

Activity Date Activity Invoice
Date
Filter
Invoice
Number
Filter
Policies Bill
Group
Invoice
Type
Coverage
Type
Amount
Paid
08/12/2014
Payment
05/10/2014
0034783265
04H4799
1
List Adj
NO-HMO POS
$320.12



Payment Activity Log

Date User Action
Nov 13, 2014 06:07:11 PM System Payment Created