OP5033 - Payment Plan Agreement

Function:

The payment plan agreement document summarizes the agreement made between the center and patient for a payment plan for services rendered. This document would typically be printed directly from the Payment Plan tab within the patient account and be provided to the patient for signature and a hard copy to take home. The Reports menu allows for individual payment plan or bulk payment plan printing.

 

The output for this report is formatted as a letter to the responsible party.

 

Usage:

This report can be generated for plan start/end date range or for a particular patient. This can also be generated from Billing > Patient Account - Payment Plan tab at the time the payment plan is generated.

 

Sample Output:

For details on available output types, please see the Reports Overview help page.

 

Report Filter: