Patient Management Program - HCAI
Summary
Add Other Insurance amounts and Account Activity Since Last Invoice if applicable. The Total fields will
populate and calculate automatically from information input in Goods and Services fields.
Comments
The Comments tab is for attachment information if applicable or any other information to support the
treatment plan. Up to 20,000 characters can be used in this field.
Additional Buttons
The bottom portion of the form contains the following buttons:
Details can be found on page 21.
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