KOPA Medical Billing Ops

03 : Transaction Assignment

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# Visit ID Patient Chart Provider Facility Txn Type Charge Code Date of Entry Charges Payments Adjustments Sections
1 14605945 Anderson, Carolyn S 4 Nancy Dorcelus Avante- St Cloud Adjustment 99306 2026-09-01 $0.00 $0.00 $193.91 WoundCare
2 14610854 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11042 2026-09-01 $0.00 $0.00 $4.86 WoundCare
3 14610854 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11045 2026-09-01 $0.00 $0.00 $3.92 WoundCare
4 14610854 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11043 2026-09-01 $0.00 $0.00 $24.43 WoundCare
5 14613074 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11043 2026-09-01 $0.00 $0.00 $24.43 WoundCare
6 14613074 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11042 2026-09-01 $0.00 $0.00 $4.86 WoundCare
7 14613074 Dayton, Joan 904 Lynsey Materni Avante- Mt Dora Adjustment 11045 2026-09-01 $0.00 $0.00 $15.69 WoundCare
8 14614164 Moore, Edith 2295 Davidson Antenor, NP Avante- Orlando Payment 99308 2026-09-01 $0.00 $0.00 $0.00 Cardiology
9 14614483 Bezio, Sandra 1577 Isolyn Housen, Fnp-C Avante- Jacksonville Adjustment 17250 2026-09-01 $0.00 $0.00 $3.05 WoundCare
10 14615913 Ferrell, Tammy 2638 Shawn Chopra, MD Avante- Leesburg Adjustment G0408 2026-09-01 $0.00 $0.00 $19.13 AcuteCare
11 14615916 Greaves, Dajon 2639 Shawn Chopra, MD Avante- Leesburg Adjustment G0426 2026-09-01 $0.00 $0.00 $120.12 AcuteCare
12 14615932 Gongon, Idalis 1293 Shawn Chopra, MD Avante- Leesburg Adjustment G0426 2026-09-01 $0.00 $0.00 $120.12 AcuteCare
13 14615945 Ferrell, Tammy 2638 Shawn Chopra, MD Avante- Leesburg Adjustment G0408 2026-09-01 $0.00 $0.00 $19.13 AcuteCare
14 14616125 Ferrell, Tammy 2638 Shawn Chopra, MD Avante- Leesburg Adjustment G0408 2026-09-01 $0.00 $0.00 $19.13 AcuteCare
15 14616283 Ferrell, Tammy 2638 Shawn Chopra, MD Avante- Leesburg Adjustment G0408 2026-09-01 $0.00 $0.00 $19.13 AcuteCare
16 14616825 Ferrell, Tammy 2638 Keila Pimentel Avante- Leesburg Adjustment 99304 2026-09-01 $0.00 $0.00 $12.22 WoundCare
17 14616825 Ferrell, Tammy 2638 Keila Pimentel Avante- Leesburg Adjustment 11042 2026-09-01 $0.00 $0.00 $9.71 WoundCare
18 14617417 Collier, Robert 2797 Shawn Chopra, MD Avante-Inverness Adjustment G0426 2026-09-01 $0.00 $0.00 $120.12 AcuteCare
19 14617735 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99490 2026-09-01 $0.00 $0.00 $9.15 CCM
20 14617735 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99439 2026-09-01 $0.00 $0.00 $12.86 CCM
21 14617808 Hanlon, Thomas 1909 Shawn Chopra, MD Avante- Mt Dora Charge 99487 2026-09-01 $121.07 $0.00 $0.00 CCM
22 14617808 Hanlon, Thomas 1909 Shawn Chopra, MD Avante- Mt Dora Charge 99489 2026-09-01 $66.87 $0.00 $0.00 CCM
23 14619520 Ferrell, Tammy 2638 Carly Burke, NP Avante- Leesburg Adjustment 99310 2026-09-01 $0.00 $0.00 $24.15 WoundCare
24 14619520 Ferrell, Tammy 2638 Carly Burke, NP Avante- Leesburg Adjustment 11042 2026-09-01 $0.00 $0.00 $9.71 WoundCare
25 14619520 Ferrell, Tammy 2638 Carly Burke, NP Avante- Leesburg Adjustment 17250 2026-09-01 $0.00 $0.00 $3.05 WoundCare
26 14622796 Saint Julien, Anne 504 Shawn Chopra, MD Avante- Boca Raton Adjustment G0426 2026-09-01 $0.00 $0.00 $120.12 AcuteCare
27 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Payment 99310 2026-09-01 $0.00 $5.02 $0.00 WoundCare
28 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Payment 11043 2026-09-01 $0.00 $0.00 $0.00 WoundCare
29 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Payment 11042 2026-09-01 $0.00 $0.00 $0.00 WoundCare
30 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Adjustment 99310 2026-09-01 $0.00 $0.00 $19.13 WoundCare
31 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Adjustment 11043 2026-09-01 $0.00 $0.00 $24.43 WoundCare
32 14623191 Murphy, Karen 2984 Isolyn Housen, Fnp-C Avante- Jacksonville Adjustment 11042 2026-09-01 $0.00 $0.00 $4.86 WoundCare
33 14623576 Wadsworth, Paul 2554 Efren Balbin, NP Avante- Jacksonville Adjustment G0426 2026-09-01 $0.00 $0.00 $120.12 AcuteCare
34 14623798 Wadsworth, Paul 2554 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $95.64 AcuteCare
35 14624215 Wadsworth, Paul 2554 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $95.64 AcuteCare
36 14624367 Chase, Cynthia 2850 Carly Burke, NP Avante- Leesburg Payment 99306 2026-09-01 $0.00 $137.86 $0.00 WoundCare
37 14624367 Chase, Cynthia 2850 Carly Burke, NP Avante- Leesburg Payment 11042 2026-09-01 $0.00 $47.60 $0.00 WoundCare
38 14624367 Chase, Cynthia 2850 Carly Burke, NP Avante- Leesburg Adjustment 99306 2026-09-01 $0.00 $0.00 $56.05 WoundCare
39 14624367 Chase, Cynthia 2850 Carly Burke, NP Avante- Leesburg Adjustment 11042 2026-09-01 $0.00 $0.00 $83.30 WoundCare
40 14624725 Wadsworth, Paul 2554 Shawn Chopra, MD Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $95.64 AcuteCare
41 14624804 Wadsworth, Paul 2554 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $95.64 AcuteCare
42 14625106 Wadsworth, Paul 2554 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $95.64 AcuteCare
43 14625597 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99490 2026-09-01 $0.00 $0.00 $9.15 CCM
44 14625597 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99439 2026-09-01 $0.00 $0.00 $12.86 CCM
45 14626375 Dukes, Theodore 27 Shawn Chopra, MD Avante- Ocala Adjustment 99490 2026-09-01 $0.00 $0.00 $8.92 CCM
46 14626375 Dukes, Theodore 27 Shawn Chopra, MD Avante- Ocala Adjustment 99439 2026-09-01 $0.00 $0.00 $12.53 CCM
47 14626956 Beal, Barry L 285 James Foley, NP Avante-Inverness Adjustment G0426 2026-09-01 $0.00 $0.00 $20.42 AcuteCare
48 14627079 Wormack, Patricia 2235 Isolyn Housen, Fnp-C Avante- Boca Raton Payment 99310 2026-09-01 $0.00 $0.00 $0.00 WoundCare
49 14627079 Wormack, Patricia 2235 Isolyn Housen, Fnp-C Avante- Boca Raton Payment 11043 2026-09-01 $0.00 $0.00 $0.00 WoundCare
50 14627079 Wormack, Patricia 2235 Isolyn Housen, Fnp-C Avante- Boca Raton Payment 11046 2026-09-01 $0.00 $0.00 $0.00 WoundCare
51 14627157 Cressia, Linda 2301 Jessica Santana Avante- Ocala Adjustment 99310 2026-09-01 $0.00 $0.00 $24.15 WoundCare
52 14627241 Beal, Barry L 285 James Foley, NP Avante-Inverness Adjustment G0408 2026-09-01 $0.00 $0.00 $16.26 AcuteCare
53 14627538 Culver, Aurelia 3135 Jimmy Dorival, NP Avante- Jacksonville Payment G0426 2026-09-01 $0.00 $100.06 $0.00 AcuteCare
54 14627538 Culver, Aurelia 3135 Jimmy Dorival, NP Avante- Jacksonville Adjustment G0426 2026-09-01 $0.00 $0.00 $20.06 AcuteCare
55 14628353 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99490 2026-09-01 $0.00 $0.00 $9.15 CCM
56 14628353 Bloch, Liane 2423 Shawn Chopra, MD Avante- Boca Raton Adjustment 99439 2026-09-01 $0.00 $0.00 $12.86 CCM
57 14628558 Dalrymple, Therese 1194 Shawn Chopra, MD Avante- Melbourne Payment 99490 2026-09-01 $0.00 $43.69 $0.00 CCM
58 14628558 Dalrymple, Therese 1194 Shawn Chopra, MD Avante- Melbourne Payment 99439 2026-09-01 $0.00 $61.39 $0.00 CCM
59 14628558 Dalrymple, Therese 1194 Shawn Chopra, MD Avante- Melbourne Adjustment 99490 2026-09-01 $0.00 $0.00 $28.25 CCM
60 14628558 Dalrymple, Therese 1194 Shawn Chopra, MD Avante- Melbourne Adjustment 99439 2026-09-01 $0.00 $0.00 $37.75 CCM
61 14628748 Lenti, Nancy 1660 Shawn Chopra, MD Avante- Jacksonville Payment 99439 2026-09-01 $0.00 $0.00 $0.00 CCM
62 14628748 Lenti, Nancy 1660 Shawn Chopra, MD Avante- Jacksonville Payment 99490 2026-09-01 $0.00 $0.00 $0.00 CCM
63 14628748 Lenti, Nancy 1660 Shawn Chopra, MD Avante- Jacksonville Adjustment 99490 2026-09-01 $0.00 $0.00 $8.92 CCM
64 14628887 Lugo, Clara 2428 Shawn Chopra, MD Avante- Jacksonville Payment 99439 2026-09-01 $0.00 $0.00 $0.00 CCM
65 14628887 Lugo, Clara 2428 Shawn Chopra, MD Avante- Jacksonville Payment 99490 2026-09-01 $0.00 $0.00 $0.00 CCM
66 14628887 Lugo, Clara 2428 Shawn Chopra, MD Avante- Jacksonville Adjustment 99439 2026-09-01 $0.00 $0.00 $12.53 CCM
67 14628887 Lugo, Clara 2428 Shawn Chopra, MD Avante- Jacksonville Adjustment 99490 2026-09-01 $0.00 $0.00 $8.92 CCM
68 14628900 Beal, Barry L 285 James Foley, NP Avante-Inverness Adjustment G0408 2026-09-01 $0.00 $0.00 $16.26 AcuteCare
69 14628966 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Payment G0408 2026-09-01 $0.00 $79.67 $0.00 AcuteCare
70 14628966 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $15.97 AcuteCare
71 14629036 Rahimi, Hoora 2486 Shawn Chopra, MD Avante- Jacksonville Payment 99439 2026-09-01 $0.00 $61.39 $0.00 CCM
72 14629036 Rahimi, Hoora 2486 Shawn Chopra, MD Avante- Jacksonville Payment 99490 2026-09-01 $0.00 $43.69 $0.00 CCM
73 14629036 Rahimi, Hoora 2486 Shawn Chopra, MD Avante- Jacksonville Adjustment 99439 2026-09-01 $0.00 $0.00 $37.75 CCM
74 14629036 Rahimi, Hoora 2486 Shawn Chopra, MD Avante- Jacksonville Adjustment 99490 2026-09-01 $0.00 $0.00 $28.25 CCM
75 14629057 Beal, Barry L 285 James Foley, NP Avante-Inverness Adjustment G0408 2026-09-01 $0.00 $0.00 $16.26 AcuteCare
76 14629117 Ellis, Anne 3082 James Foley, NP Avante-Inverness Payment G0408 2026-09-01 $0.00 $79.67 $0.00 AcuteCare
77 14629117 Ellis, Anne 3082 James Foley, NP Avante-Inverness Adjustment G0408 2026-09-01 $0.00 $0.00 $15.97 AcuteCare
78 14629127 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Payment G0408 2026-09-01 $0.00 $79.67 $0.00 AcuteCare
79 14629127 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $15.97 AcuteCare
80 14629145 Ball, Christina 3169 Efren Balbin, NP Avante- Jacksonville Payment G0426 2026-09-01 $0.00 $100.06 $0.00 AcuteCare
81 14629145 Ball, Christina 3169 Efren Balbin, NP Avante- Jacksonville Adjustment G0426 2026-09-01 $0.00 $0.00 $20.06 AcuteCare
82 14629222 Johnson, Loren 1394 Nancy Dorcelus Avante- St Cloud Payment 99310 2026-09-01 $0.00 $0.00 $0.00 WoundCare
83 14629250 Serrano, Camelia 3027 Nancy Dorcelus Avante- St Cloud Payment 99307 2026-09-01 $0.00 $0.00 $0.00 WoundCare
84 14629457 Warren, Mary 2539 Shawn Chopra, MD Avante- Jacksonville Payment 99490 2026-09-01 $0.00 $0.00 $0.00 CCM
85 14629457 Warren, Mary 2539 Shawn Chopra, MD Avante- Jacksonville Payment 99439 2026-09-01 $0.00 $0.00 $0.00 CCM
86 14629495 Tibbs, Felicity 1523 Shawn Chopra, MD Avante- St Cloud Payment 99490 2026-09-01 $0.00 $0.00 $0.00 CCM
87 14629495 Tibbs, Felicity 1523 Shawn Chopra, MD Avante- St Cloud Payment 99439 2026-09-01 $0.00 $0.00 $0.00 CCM
88 14629496 Cressia, Linda 2301 Jessica Santana Avante- Ocala Adjustment 99310 2026-09-01 $0.00 $0.00 $24.15 WoundCare
89 14629504 Dukes, Theodore 27 Jessica Santana Avante- Ocala Adjustment 17250 2026-09-01 $0.00 $0.00 $6.09 WoundCare
90 14629512 Heon, Arthur F 3022 Nancy Dorcelus Avante- Melbourne Payment 99309 2026-09-01 $0.00 $82.95 $0.00 WoundCare
91 14629512 Heon, Arthur F 3022 Nancy Dorcelus Avante- Melbourne Payment 11042 2026-09-01 $0.00 $47.60 $0.00 WoundCare
92 14629512 Heon, Arthur F 3022 Nancy Dorcelus Avante- Melbourne Adjustment 99309 2026-09-01 $0.00 $0.00 $31.95 WoundCare
93 14629512 Heon, Arthur F 3022 Nancy Dorcelus Avante- Melbourne Adjustment 11042 2026-09-01 $0.00 $0.00 $83.30 WoundCare
94 14630057 Johnson, Loren 1394 Nancy Dorcelus Avante- St Cloud Payment 99307 2026-09-01 $0.00 $0.00 $0.00 WoundCare
95 14630077 Torres, A 3128 Nancy Dorcelus Avante- St Cloud Payment 99306 2026-09-01 $0.00 $137.86 $0.00 WoundCare
96 14630077 Torres, A 3128 Nancy Dorcelus Avante- St Cloud Adjustment 99306 2026-09-01 $0.00 $0.00 $56.05 WoundCare
97 14630123 Bolster, Karen 2183 Carame Cameau, NP Avante- Jacksonville Adjustment 99309 2026-09-01 $0.00 $0.00 $16.93 Cardiology
98 14630394 Moore, Edith 2295 Davidson Antenor, NP Avante- Orlando Payment 99308 2026-09-01 $0.00 $0.00 $0.00 Cardiology
99 14630414 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Payment G0408 2026-09-01 $0.00 $79.67 $0.00 AcuteCare
100 14630414 Culver, Aurelia 3135 Efren Balbin, NP Avante- Jacksonville Adjustment G0408 2026-09-01 $0.00 $0.00 $15.97 AcuteCare
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