Patient Receipt Reports

checkmarkPatient Receipt – Sample – Standard receipt to print for a patient. Normally would be printed for a single claim.

downloadPatient Receipt w Balance Forward No Tax ID – Sample – Asks for a balance forward date and will total all the previous balances as a single line item. Does not show the Tax ID.

downloadPatient Receipt w Balance Forward – Sample – Asks for a balance forward date and will total all the previous balances as a single line item.

downloadPatient Receipt no Diags – Sample – Same as the standard patient receipt but does not show the diagnostic codes. Includes Reference 1 and 2.

downloadPatient Receipt no Diags no Tax ID – Sample – Same as the standard patient receipt but does not show the diagnostic codes nor the tax ID. Includes Reference 1 and 2.

downloadPatient Receipt w Units – Sample – Same as the standard patient receipt but includes the units.

downloadPatient Receipt – Sample – Moved the Tax ID down so it won’t show in a windowed envelope. Also shows both reference fields for each payment item.

CONTACT INFO

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

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CONTACT INFO

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

FOLLOW US ON

CONTACT INFO

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

FOLLOW US ON

CONTACT INFO

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

FOLLOW US ON

SALES

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

CUSTOMER SUPPORT

337 S. Main Street
Ste 200
Rochester, MI 48307

877.650.0904

FOLLOW US ON