Patient Paid Amt:
|
{{ billingMiscellanousData?.patientPaidAmount ==='\u2013\u2013\u2013' ? '\u2013\u2013\u2013' : '$'+
billingMiscellanousData?.patientPaidAmount }}
{{ billingMiscellanousData?.patientPaidAmount ==='\u2013\u2013\u2013' ? '\u2013\u2013\u2013' : '$'+
billingMiscellanousData?.patientPaidAmount }}
|
Patient Signature:
|
{{ billingMiscellanousData?.patientSignature }}
{{ billingMiscellanousData?.patientSignature }}
|
Patient Status:
|
{{ billingMiscellanousData?.patientStatus }}
{{ billingMiscellanousData?.patientStatus }}
|
Prior Authorization:
|
21" [attr.title]="billingMiscellanousData?.priorAuthorizationReferralLong.length> 21? billingMiscellanousData?.priorAuthorizationReferralLong: ''">
{{ billingMiscellanousData?.priorAuthorizationReferralLong }}
{{ billingMiscellanousData?.priorAuthorizationReferralLong }}
|
Referral Number:
|
25" [attr.title]="billingMiscellanousData?.referralLong_5010.length> 25? billingMiscellanousData?.referralLong_5010: ''">
{{ billingMiscellanousData?.referralLong_5010 }}
{{ billingMiscellanousData?.referralLong_5010 }}
|
Provider Accept Asgmt:
|
{{ billingMiscellanousData?.providerAcceptsAssignment }}
{{ billingMiscellanousData?.providerAcceptsAssignment }}
|
Assignment of Benefits:
|
{{ billingMiscellanousData?.assignmentOfBenefits }}
{{ billingMiscellanousData?.assignmentOfBenefits }}
|
Discharge Date/Hour:
|
{{ billingMiscellanousData?.dischargeDateOrHour }}
{{ billingMiscellanousData?.dischargeDateOrHour }}
|
Medicare Int. Ctrl. Num:
|
{{ billingMiscellanousData?.medicareIcn }}
{{ billingMiscellanousData?.medicareIcn }}
|