DOJ-OGR-00026099.jpg
DOJ-OGR-00026099.jpg
Why This Matters
The image displays a page with printed information that appears to be an itemized statement or invoice.
AI-Generated Summary
The image displays a page with printed information that appears to be an itemized statement or invoice. It includes columns labeled "Invoice Number," "Date of Service," and other details such as the patient's name, service code, description, units, charge, adjustment, payment, credit, balance, date paid, and remarks. The text is too small to read clearly in this description. The style of the document suggests a medical or insurance billing context.
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