This page is currently under construction. Check back for updates!The Other Providers screen allows for the viewing and recording of other providers, bills and payments in the case.
Structure of This Page
Other Providers Table
The other providers table lists information for all other service providers associated with this case The information included in this table includes:
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Name of plaintiff associated with this service provider
Name of service provider
Type of service provider
First date of service associated with this provider
Last date of service associated with this provider
Number of service visits with this provider
Total bill amount for the provider
Comments associated with this service provider
Adding a Provider
By clicking the Add Other Provider button, the following information can be indicated:
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Name of plaintiff associated with this provider
Name of service provider
Name of contact at service provider’s office/facility
Type of provider
Number of visits to/by this provider
First date of service associated with this provider
Last date of service associated with this provider
Comments associated with this service provider
Bills Sub-Table
The bills sub-table lists information for all bills associated with this service provider. The information included in this table includes:
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Bill number
Billing account number
Amount of bill
Negotiated amount of bill
Date bill was submitted
First date of service associated with this medical bill
Last date of service associated with this medical bill
Balance of this medical bill
Comments associated with this bill
Adding a Bill
By clicking the Add Bill Details button, the following information can be indicated:
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Bill number
Billing account number
Amount of bill
Negotiated amount of bill
First date of service associated with this bill
Last date of service associated with this bill
Date bill was submitted
Comments associated with this bill
Payment/Adjustment Sub-Table
The payment/adjustment sub-table lists information for all payments and adjustments associated with this service provider. The information included in this table includes:
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Information regarding the bill associated with this payment/adjustment
Date claim was submitted
Date payment/adjustment was made
Payee
Collateral source of payment/adjustment
Amount of payment/adjustment
Indication of adjustment
Comments associated with this payment/adjustment
Adding a Payment/Adjustment
By clicking the Add Payment/Adjustment button, the following information can be indicated:
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Selection of bill associated with this payment/adjustment
Collateral source of payment/adjustment
Date claim was submitted
Date payment/adjustment was made
Payee
Amount of payment/adjustment
Indication of adjustment
Comments associated with this medical payment/adjustment