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4 Cards in this Set

  • Front
  • Back
Patient Information
*New patients will complete registration forms with all of their information used for billing purposes
-Name, complete address, phone numbers
-DOB, sex, martial status, SS#
-Employer
-Insurance information
-Guarantor(person who is responsible for the bill)

*For Established patients, you will want to ensure that the information is up to date and correct
To Register a Patient
*Gather all necessary documentation

*Copies of insurance cards both front and back
Reasons for Change
*After a patients account has been established changes may occur that will need to be made
-Last name change
-Martial status
-Address, phone
-Employer
-Insurance
The Superbill
*After a patient is registered or checked in, there needs to be a record of their visit

*Printing a superbill, encounter form, charge ticket, etc. will give a paper document allowing the physician to document the exam level and findings related to the visit for billing purposes