Account Enquiry

Account Details

Switch Patient

Title

Initials

Name

Surname

Balance

Account History

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Date	Inv No	Patient	Code	Description	ICD10	Qty	Liable(P)	Liable(S)	Allocated	Amount	Balance	Order	Options	Edit	Delete
	<%#DataBinder.Eval(Container, "DataItem.invoiceNo")%>	<%#DataBinder.Eval(Container, "DataItem.patientName")%> <%#DataBinder.Eval(Container, "DataItem.patientSurname")%>	<%#DataBinder.Eval(Container, "DataItem.procedureCode")%>	<%#DataBinder.Eval(Container, "DataItem.procedureDescription")%>	<%#DataBinder.Eval(Container, "DataItem.icd1")%>	<%#DataBinder.Eval(Container, "DataItem.qty")%>

Assisted Billings

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Date	Inv No	Patient	Code	Description	ICD10	Qty	Liable(P)	Liable(S)	Allocated	Amount	Options	Delete
	<%#DataBinder.Eval(Container, "DataItem.invoiceNo")%>	<%#DataBinder.Eval(Container, "DataItem.patientName")%> <%#DataBinder.Eval(Container, "DataItem.patientSurname")%>	<%#DataBinder.Eval(Container, "DataItem.procedureCode")%>	<%#DataBinder.Eval(Container, "DataItem.procedureDescription")%>	<%#DataBinder.Eval(Container, "DataItem.icd1")%>	<%#DataBinder.Eval(Container, "DataItem.qty")%>

Deleted History

Capture Date	Patient	Code	Description	ICD10	Qty	Amount
	<%#DataBinder.Eval(Container, "DataItem.patientName")%> <%#DataBinder.Eval(Container, "DataItem.patientSurname")%>	<%#DataBinder.Eval(Container, "DataItem.procedureCode")%>	<%#DataBinder.Eval(Container, "DataItem.procedureDescription")%>	<%#DataBinder.Eval(Container, "DataItem.icd1")%>	<%#DataBinder.Eval(Container, "DataItem.qty")%>

Unprocessed Remittance Advices

recId		Date	eRA Status	Patient	Date of Birth	ID Number	Medical Aid	Claim Amount	Paid Amount
			<%#DataBinder.Eval(Container, "DataItem.EraStatus")%>	<%#DataBinder.Eval(Container, "DataItem.PatientName")%> <%#DataBinder.Eval(Container, "DataItem.PatientSurname")%>		<%#DataBinder.Eval(Container, "DataItem.PatientIdNumber")%>	<%#DataBinder.Eval(Container, "DataItem.medicalSchemeName")%>

<%-- --%>

Date

Doctor

Code

Description

Tendon

Place of Service

Primary ICD10

Secondary ICD10's

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External Cause Code

Authorization Number

Referring Doctor

Referring Doctor Practice Number

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Tariff

Qty

Unit Price

Total

Liable (P)

Liable (S)

Modifiers

Post Line

Date

Doctor

Allocate To

Balance

Type

Method

Credit Card Cash Cheque Electronic Transfer Medical Aid Transfer

Amount

Reason

Date

Doctor

Allocate To

Method

Credit Card Cash Electronic Transfer Medical Aid Transfer

Amount

Statement Date

BBF (Days)

Statement for

Date From

Date To

Max Lines

Options

Message

Send To

Date

Doctor

Code

Description

Tendon

Qty

Tariff

Place of Service

Primary ICD10

Secondary ICD10's

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External Cause Code

Authorization Number

Referring Doctor

Referring Doctor Practice Number

Unit Price

Total

Liable (P)

Liable (S)

Modifier

Time (In Minutes)

Assistant

Registration Number

Surname

Height (cm)

Weight (kg)

Procedure

Modifier

Time (In Minutes)

Assistant

Registration Number

Surname

Height (cm)

Weight (kg)

Modifier	Remove
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The Medical Aid on record does not have a valid email address set up.

Please save the downloaded statement and send it to the Medical Aid manually.

Claimables

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Invoice No	Date	Patient	Diagnosis	Procedures	Modifier	Liable(P)	Liable(S)	Amount	Include
	<%--GR included external Cause code --%> <%#DataBinder.Eval(Container, "DataItem.icd1")%> <%#DataBinder.Eval(Container, "DataItem.externalCause")%>: <%#DataBinder.Eval(Container, "DataItem.icdDescription")%>	<%#DataBinder.Eval(Container, "DataItem.patientName")%> <%#DataBinder.Eval(Container, "DataItem.patientSurname")%>	<%#DataBinder.Eval(Container, "DataItem.icd1")%>: <%#DataBinder.Eval(Container, "DataItem.icdDescription")%>	<%#DataBinder.Eval(Container, "DataItem.procedures")%>				<%----%>

Claim History

Transmission No		Switch Reference
Invoice No		Overall Result
Invoice Date		Responding Party
Diagnosis	<%--GR included external Cause code --%>	Delivery Type

Date Sent

Response Result

Responding Party

Delivery Type

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Procedure

Response Result

Responding Party

Delivery Type

Scheme Tracking No

Claimed Amount

Scheme Authorised

Patient Liable

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Claimed Amount	Discount Amount	Overcharged Amount	Patient Levy	MMAP Surcharge	Patient Co-Payment Amount	Patient Liable Portion	Medical Fund Liable Amount	Amount Authorised	Member Reimbursement Amount
<%#DataBinder.Eval(Container, "DataItem.treatmentClaimedAmount")%>	<%#DataBinder.Eval(Container, "DataItem.discountAmount")%>	<%#DataBinder.Eval(Container, "DataItem.overchargedAmount")%>	<%#DataBinder.Eval(Container, "DataItem.patientLevyAmount")%>	<%#DataBinder.Eval(Container, "DataItem.mmapSurcharge")%>	<%#DataBinder.Eval(Container, "DataItem.patientCoPaymentAmount")%>	<%#DataBinder.Eval(Container, "DataItem.patientLiableAmount")%>	<%#DataBinder.Eval(Container, "DataItem.medicalFundLiableAmount")%>	<%#DataBinder.Eval(Container, "DataItem.authAmountToProvider")%>	<%#DataBinder.Eval(Container, "DataItem.memberReimbursementAmount")%>

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