Capture Payments
    text
    Claim Details
    Claim Number     File No.     Claim Status     Accident Date  
    First Name(s)     Surname  
    ID Number     Employer  
    Invoices
    		 
    *
    		 
    *
    Select Date Item Total Total Oustanding Total Paid Write Off Balance? Comment Invoice No Invoice PracticeInvoiceID AccountItemID Job_No SPAccountItemID ServiceEndDate HasAwaitingPayment
      Total Paid
    Previous Account Item Payments
    Bank reference Date Paid (Excl) Paid (Incl) Admin Fee Write Off Comment TransactionRef CanReverse