Billing
Version 0.0089897
Mary Kelly
ZZX - Red Door Pediatric Therapy
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Users
Company
Company Information
Comapny Name
(required)
Malling Address
Malling City
Mailling State
California
Mailling Zip
P.O. Box
Member Settings (Internal)
Company Code
(required)
Parent Company
Hub Location
CA (Upland) 413
Company Type
Web PT
Service Type
(required)
RevEquip
Roll-up Type
BMS - Standard
Tax Identification Number
Tax ID Type
TIN
Open Month
Closed Month
Effective Date
Terminated Date
RevFlow2 IP List
Use Formatter
Include in Reports
Test or Demo
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Live Chat
Is Payright
Is Active
Contact Information
Owner Name
Owner Email
Owner Phone
Office Contact
Office Email
Office Phone
Office Fax
Fax Display Name
Company
Fax Display Address and Phone
Place Of Service
Claims Information
Paper Claim Name
Main Physical Address
Main Physical City
Main Physical State
Alaska
Main Physical Zip
Company NPI
Medicare Type
CORF
Submitter ID
Clearinghouse Website
Allow Conditional Billing
PTPN
No Zero Unit Validation
Patient Statement Information
Company Statement Name
Statement Return Address Same as Company
Statement Return Address
Statement Return City
Statement Return State
Nebraska
Statement Return Zip
Statement Phone
Statement Phone Ext.
Statement Header Information
Use Default Clinic
Number of Statement Batches
1
2
3
4
Credit Card Type
Visa
Master
Finance Charge Effective Date
Interest Rate
Min. Age to Apply Finance Charge
Maximum Finance Charge
Finance Rate Ceiling
Small Balance Adjustment Amount
Small Balance Adjustment Code
Statement Note
90 Days Letter
Apply Finance Charges
Company Settings
PreAudit Hold Days
Minimum Days to Hold Payment
Re-Age Charges
Accrual Accounting
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Show Patient Previous ID
Transaction Supply Charges
Patient Email Required
Taxes
Tax Percent
Tax Procedure Code
Excise Tax Percentage
Excise Tax Procedure
Invoice Information (Internal)
Same as Company
Invoice Address
Invoice Address 2
Invoice City
Invoice State
Nebraska
Invoice Zip
Invoice Billing Percent
Intracct ID
Calculate PIOF Payment Code as WebPT Revenue
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IP Address
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