The Clinic Receipt is a crucial document in Philippine healthcare transactions that serves as both a proof of payment and an official record of medical services rendered. It must comply with specific requirements set forth by the Bureau of Internal Revenue (BIR), particularly Revenue Regulations No. 16-2005, as well as healthcare documentation standards established by the Department of Health. The receipt is used whenever medical services are provided and payment is received, whether through direct payment, insurance, or PhilHealth coverage. It typically includes patient information, service details, charges, tax calculations, and payment information, making it essential for tax reporting, insurance claims, and medical records.
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1. Clinic Header Information: Clinic name, address, contact details, tax identification number (TIN), and BIR permit details
2. Receipt Number and Date: Unique receipt number, date and time of service
3. Patient Information: Patient's full name, address, and contact information
4. Services Rendered: Detailed list of medical services provided with corresponding codes
5. Fees and Charges: Itemized breakdown of charges for each service
6. Tax Information: VAT or non-VAT details, tax calculations if applicable
7. Total Amount: Total amount due in both figures and words
8. Payment Details: Mode of payment and amount received
9. Authorization: Signature lines for clinic representative and receipt validation
1. Insurance Information: Include when patient is using health insurance, showing coverage details and patient's portion
2. PhilHealth Details: Add when PhilHealth benefits are applied, showing case rates and deductions
3. Senior Citizen/PWD Discount: Include when applicable, showing discount calculations as per Philippine law
4. Professional Fee Component: Separate section for doctor's professional fees when billed separately
5. Payment Terms: Include for partial payments or installment arrangements
1. Detailed Service Breakdown: Itemized list of medical supplies used and their costs
2. Insurance Claim Form: Attached when required for insurance reimbursement
3. Laboratory Results Summary: Brief summary of lab tests performed and their costs
4. Medication List: Detailed list of medications dispensed and their prices
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Services
Insurance
Accounting
Tax
Healthcare Administration
Medical Records
Finance
Regulatory Compliance
Public Health
Relevant Teams
Finance
Accounting
Medical Records
Front Office
Billing
Compliance
Administration
Revenue Cycle
Patient Services
Insurance Processing
Relevant Roles
Clinic Administrator
Healthcare Provider
Medical Billing Specialist
Accounts Receivable Officer
Medical Records Officer
Compliance Officer
Finance Manager
Tax Accountant
Healthcare Office Manager
Insurance Claims Processor
Medical Secretary
Front Desk Coordinator
Revenue Cycle Manager
Billing Coordinator
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