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