The Dental Receipt is a mandatory document in Indonesian dental practice that serves as both a financial record and a medical document. It must be issued for all dental services provided, in accordance with Indonesian tax laws and healthcare regulations. The receipt includes essential information such as the dental practice details, patient information, itemized services, costs, and payment information. It plays a crucial role in tax compliance, insurance claims processing, and maintaining proper medical records. The document must follow specific formatting requirements set by Indonesian tax authorities and healthcare regulators, while also adhering to professional standards established by the Indonesian Dental Association (PDGI).
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1. Receipt Header: Practice name, address, contact details, and professional registration numbers
2. Receipt Number: Unique receipt identifier and date of service
3. Patient Information: Patient's name, contact information, and medical record number
4. Service Details: Itemized list of dental procedures performed with standard procedure codes
5. Financial Information: Breakdown of costs, subtotal, applicable taxes, and total amount
6. Payment Information: Payment method, payment status, and transaction details
7. Authentication: Dentist's signature, stamp, and practice seal
1. Insurance Information: Include when treatment is covered by insurance, showing coverage details and claim information
2. Warranty Information: Include for procedures that come with specific warranties or guarantees
3. Follow-up Care: Include when specific post-treatment care instructions are necessary
4. Installment Details: Include when payment is made in installments, showing payment schedule
1. Detailed Treatment Notes: Detailed clinical notes about the procedure (attached when required for insurance or medical records)
2. Pre/Post Treatment Images: Dental images or photographs if relevant to the treatment (optional attachment)
3. Insurance Claim Forms: Relevant insurance documentation when treatment is covered by insurance
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Dental Services
Medical Insurance
Professional Services
Tax & Accounting
Healthcare Administration
Relevant Teams
Finance
Accounting
Medical Records
Administration
Compliance
Insurance Processing
Audit
Healthcare Operations
Patient Services
Revenue Cycle
Relevant Roles
Dentist
Dental Practice Manager
Healthcare Administrator
Accountant
Tax Consultant
Insurance Claims Processor
Medical Records Officer
Finance Manager
Compliance Officer
Healthcare Auditor
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