OP5017 — Insurance Verification Datasheet

Function:

Displays insurance information for each patient selected.  Use to ensure that all insurance information is verified.  Prints a new page for each patient ID.  Includes a patient signature line to acknowledge information and authorize the center to bill insurance.

 

Usage:

Select a date of service range and optionally specify patient ID number(s).

Results are sorted by patient ID, and by visit number if a particular patient ID is included more than once in the selection.  If the patient ID has not yet been assigned, the case will be included but will display as ID 0 (i.e., (0-1)).

 

Sample Output:

For more information on report output options, view Reports Overview help page.

 

Report Filter: