Payer total (subtotal after write offs minus all 3rd party coverages and deposits)
Grand total
Date
Sum of payer payments
Balance due
Invoice number
Template notes
ICD Codes
Taken from most recent Audiogram (under Audiology tab)
ICD Codes (No Description)
Taken from most recent Audiogram (under Audiology tab)
Disclaimer
Invoice clinic name
Invoice clinic location name
Invoice clinic address
Invoice clinic phone number
Invoice clinic fax number
Modified user name
Insurer policy number
Only displays on insurer invoice.
Insurer group number
Only displays on insurer invoice.
Insurer authorization number
Only displays on insurer invoice.
Payer first name
Payer last name
Payer initial
Payer name (salutation, first name, and last name)
Payer salutation
Payer address
Payer province
Payer country
Payer healthCardNo
Line item description
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item catalog number
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item quantity
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item notes
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item price
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item tax rate
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item sub total (excluding taxes)
Needs to be within TableStart:lineItems and TableEnd:lineItems
Line item total (including taxes)
Needs to be within TableStart:lineItems and TableEnd:lineItems
Payable description
Needs to be within TableStart:payables and TableEnd:payables
Payable amount
Needs to be within TableStart:payables and TableEnd:payables
Deposit description (date and method)
Needs to be within TableStart:depositsTotal and TableEnd:depositsTotal or TableStart:deposits and TableEnd:deposits. Use TableStart:depositsTotal to display on the sum of deposits, otherwise, TableStart:deposits to display each individual deposit.
Deposit amount
Needs to be within TableStart:depositsTotal and TableEnd:depositsTotal or TableStart:deposits and TableEnd:deposits. Use TableStart:depositsTotal to display on the sum of deposits, otherwise, TableStart:deposits to display each individual deposit.
Payment or credit description (date and method)
Needs to be within TableStart:paymentsCreditsTotal and TableEnd:paymentsCreditsTotal or TableStart:paymentsCredits and TableEnd:paymentsCredits. Use TableStart:paymentsCreditsTotal to display on the sum of payments/credits, otherwise, TableStart:paymentsCredits to display each individual payments/credits.
Payment or credit amount
Needs to be within TableStart:paymentsCreditsTotal and TableEnd:paymentsCreditsTotal or TableStart:paymentsCredits and TableEnd:paymentsCredits. Use TableStart:paymentsCreditsTotal to display on the sum of payments/credits, otherwise, TableStart:paymentsCredits to display each individual payments/credits.
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