FeeSlip
The <FeeSlip> element contains data relative to patient financial transactions. There may be multiple <FeeSlip> elements nested within an <FeeSlips> element.
Element | Description | Type | Notes |
---|---|---|---|
feeslip_no | Fee slip number (key) | int | Record number for the charges |
feeslip_date | Fee slip date | datetime | Date of charges |
feeslip_ref_no | Fee slip reference number | nvarchar | This reference number is typically the patient's social security number. |
patient_no | Patient number | int | Patient record number |
insurance_no | Insurance | int | Patient insurance billed |
provider_no | Provider | int | Provider associated to patient |
guarantor_no | Guarantor | int | Person responsible for billing |
diag1_no | Diagnosis 1 | int | Primary diagnosis on bill |
diag2_no | Diagnosis 2 | int | secondary diagnosis on bill |
diag3_no | Diagnosis 3 | int | Third diagnosis on bill |
diag4_no | Diagnosis 4 | int | Fourth diagnosis on bill |
create_date | datetime | Date bill was created | |
void_date | Fee slip void date | datetime | Void date of bill |
LocationID | Practice location | int | Location bill was created |
FeeSlipBalance | Total unpaid amount for this fee slip | money | USD Total unpaid amount for this fee slip |
PatientBalance | Patient's balance for this fee slip | money | USD Insurance plan's balance for this fee slip. |
InsuranceBalance | Insurance plan's balance for this fee slip. | money | USD |
Notes | Manually entered fee slip notes | ntext | Free text entered on bill |
Date_of_Service | datetime | Date of service | |
diag5_no | Diagnosis 5 | int | Fifth diagnosis on bill |
diag6_no | Diagnosis 6 | int | Sixth diagnosis on bill |
diag7_no | Diagnosis 7 | int | Seventh diagnosis on bill |
diag8_no | Diagnosis 8 | int | Eighth diagnosis on bill |
diag9_no | Diagnosis 9 | int | Ninth diagnosis on bill |
diag10_no | Diagnosis 10 | int | Tenth diagnosis on bill |
diag11_no | Diagnosis 11 | int | Eleventh diagnosis on bill |
diag12_no | Diagnosis 12 | int | 12th diagnosis on bill |