Blank Demographic Pages

Blank Demographic Pages

Here are screenshots of the demographics including all tabs.

Patient Information: This page is the default demographic page. The red fields are required before a patient can be saved. Blue fields are optional but add information to clinical notes.

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Insurance Information tab showing the Coverage Details tab: This is where insurance information is input. Clicking the Screenshot for Blank Demographic Pages button on the bottom of the page will show all areas that are needed for billing by turning the fields yellow. The left side shows coverage, the right side shows details of the coverage.

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Screenshot for Blank Demographic Pages

Insurance Information > Benefits tab: This can be filled out to show coverage details.

Insurance Information > Payments tab: This area assists within the patient account when payments are applied.

Insurance Information > Eligibility tab: When available and enabled, will automatically fill the different insurance eligibility.

Insurance Information > Statement Settings: For customizing individual statement notes to print on statements.

Other Contacts tab showing Medical Contacts tab: This tab allows you to document contacts for the patient. Any numbers documented here will go forward to clinical notes and clinical messaging.

Other Contacts > Family Contacts tab: This tab is for documenting family contacts.

Other Contacts > Responsible/Guarantor Info showing Guarantor 1 tab: This tab is for documenting guarantor information.

Other Contacts > Responsible/Guarantor Info > Guarantor 2 tab: This tab is for documenting a second guarantor.

Other Contacts > Responsible/Guarantor Info > Responsible Person tab: This tab is for documenting the responsible person.

Other Contacts > Custom Contacts tab: This tab allows you to input other contacts for the patient.

Telephone Intake tab: This tab is used to document initial patient information.

Screenshot for Blank Demographic Pages

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