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1. Healthcare Provider Information: Doctor's/facility's complete details including name, address, ZSR number, GLN number, and specialization
2. Patient Information: Complete patient details including name, date of birth, address, insurance number, and insurance provider
3. Treatment Information: Details of treatment including dates of service, reason for treatment, and diagnosis codes
4. Service Items: Itemized list of medical services with TARMED codes, points, and individual costs
5. Payment Information: Total amount, payment terms, payment methods, and account details for transfer
6. Legal Notices: Standard notices regarding payment obligations and insurance processing
1. Accident Insurance Information: Required when treatment is related to an accident - includes accident date, accident insurance details, and claim number
2. Referral Doctor Information: Include when patient was referred by another healthcare provider
3. Laboratory Services: Detailed breakdown of laboratory tests when applicable
4. Medication Details: List of prescribed medications with pharmacode numbers when medications are directly dispensed
5. Third-Party Payer Information: Required when a third party (besides standard health insurance) is responsible for payment
1. Detailed Service Breakdown: Detailed explanation of services with time allocations and TARMED positions
2. Laboratory Results Summary: Summary of relevant laboratory results referenced in the bill
3. Prescription Copy: Copy of prescriptions for directly dispensed medications
4. Supporting Medical Documentation: Any required medical reports or documentation supporting the billed services
Healthcare
Medical Services
Insurance
Financial Services
Healthcare Technology
Medical Administration
Pharmaceutical Services
Laboratory Services
Billing
Finance
Administration
Compliance
Medical Records
Insurance Processing
Healthcare Operations
Accounts Receivable
Revenue Cycle Management
Patient Services
Medical Doctor
Healthcare Administrator
Medical Biller
Insurance Claims Processor
Healthcare Office Manager
Medical Practice Manager
Financial Controller
Healthcare Compliance Officer
Medical Records Manager
Insurance Coordinator
Healthcare Financial Analyst
Medical Secretary
Practice Administrator
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