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.