Information required for Electronic Patient Billing with FMP Limited
25 Jan 2008 by Mr.M.Reeves MICM, Dr.C.A.Jenner MB BS, FRCA
Information required for Electronic Patient Billing with FMP Limited
Date:
|
Information
|
Patient details
|
Procedure code
|
Procedure location and date
|
Insurance details
|
Fee
|
|
Details
|
Name
Address
Dob
|
Description and code
|
Hospital or clinic
|
Insurance company Membership no
Preauthorisation no
|
|
|
Example
|
Mr Jones
Flat 12,
West End Road
London
W1 2PN
|
lumbar epidural
A5210
|
St Elsewhere hospital
5/3/07
|
AXA PPP
Membership 739781K
Preauthorisation 34-9674
|
167-00
|
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