Report For Basic Claim Info
Input Parameters:
- Start Date & End Date - Orders created between the Start Date and End Date are shown.
Groups:
- RTS - Sorted By RTS Last Name, First Name
- Order - Sorted By Patient Last Name, First Name
Details:
- Patient Name
- Intake Done Date
- Patient SSN
- Patient DOB
- Patient Phone Number
- Primary Insurance
- Primary Diagnosis
- Primary Physician
- Patient Address
- Facility
- Order Notes