Billing Fields
Billing Fields
1500 Form Fields
Content that appears in field 19 on the HCFA 1500 form. This field contains the patients last treatment date and the therapists NPI# in the format specified by the HCFA form. The format can be found in the directions for how to fill out the form.
Diag1, Diag2, Diag3
A diagnosis code.
Dur
Length of time for the treatment.
Invoice Message
Notes about the invoice that appear on the Invoice window only.
Invoice Notes
Notes about the invoice that can be viewed from the Treatments tab.
Payments Area
The area below the invoice date lists the charges, payments, and balance by patient and insurance company.
Proc. Code Modifier
Process Code Modifier. A code required by the insurance company to identify an extra charge for certain treatments.
Responsible
Company or person responsible for paying for treatments.
Treat#
A unique number assigned to the patient treatment.
Treatments on Invoice
A list of treatments that appear on the current invoice.
Type
Treatment discipline such as ST (speech therapy), OT (occupational therapy) and so on.
Un-Invoiced Treatments
A list of treatments that have not been invoiced yet.
Visit #
A unique number automatically assigned to the patient visit.
W/O
Write Off. The difference between the regular charge for a treatment and the agreed upon amount the insurance company pays for the treatment.
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