Question: What was the co - payment for this encounter? What is the payer's health insurance contract number? ( HICN ) ? What amount was charged

What was the co-payment for this encounter?
What is the payer's health insurance contract number? (HICN)?
What amount was charged for this encounter?
What did the plan benefit allow for this encounter?
How much did the dr."write off" for this encounter?

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