From OpenEMR Project Wiki
Required fields are marked with *.
Last Name, First Name, Middle Initial *
Social Security Number
Date of Birth *
Physical Address = House number, Street number, Apt., City, State, Zip code
Phone Number w/Area Code *
Work Phone Number
Cell Phone Number
Name of Primary Insurance Co.
Phone number of Primary Insurance
Subscriber Name, date of birth and ID number
PCP prior authorization needed? Yes/No (IE: other PCP)
Purpose of Visit
Physician/Date/Time of Appointment to be determined and entered.
Appointment must reflect new or established patient
Inform Patient to bring insurance card, drivers license and any copays that are due at the time of service, and to arrive 15 minutes prior to appointment time to complete paperwork.
Inform self pay patients that payment is expected at time of service.
- Office Work Flow Main Page
- General Office Visit Work Flow
- The Laboratory
- CLIA Number
- Add a New Methodology
- Add a Waivered Methodology
- Patient Log
- Collecting a Specimen From a Patient
- Specimen Analysis
- Panic Log
- Quality Assurance
- Proficiency Testing
- Job Cost Analysis
- Billing Cycle