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Intellect™

 

 

SAMPLE STATEMENTS

 

 

Click to view a sample:

 

Bill Copay

Patient Portal (For PCM users only)

Statement 2

Statement 5

Statement 12

Statement 21

Statement 22

Statement 24

Statement 28

Statement 29

Statement 30

Statement 50

Statement 91

Statement 92

 

 

Version 9.12.32 Bill Copay option.
See Charges --►Charge for additional information.

 

 

Online Payments through Patient Portal (For PCM users only)

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STATEMENT 2

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STATEMENT 5

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STATEMENT 12

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STATEMENT 21

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STATEMENT 22

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STATEMENT 24

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STATEMENT 28

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STATEMENT 29

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STATEMENT 30

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STATEMENT 50

Added in Version 9.12.18

 

In the example below:

 

The patient had charges posted in May 2011 totaling $405.00

The patient had charges posted in July 2011 totaling $609.85

Payments for the May 2011 charges were posted in 7/29/2011 totaling $270.00

The statement was requested using a from date of 7/1/11

 

Intellect printed current charges with date of service 7/4/2011 and the payment for the May 2011 charges posted on 7/29/2011. Even though the 7/29/2011 payment was applied to multiple charges – only one line with the total payment amount was printed. The same is true for the payment posted on 08/05/2011.

 

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STATEMENT 91

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STATEMENT 92

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