Merge
Field
|
Inserted
Data
|
| <addressee>
|
Addresse's
Salutation and Last Name
|
<adjuster>
|
Coverage's
record Adjuster's name
|
| <allergies> |
If
there are no Allergies, "Patient admits to no allergies." is inserted,
otherwise the allergies are.
|
<claim>
|
The
ID field in Coverages
|
| <date>
|
The
Visit Date
|
| <date_birth>
|
Patient's
Birthdate
|
<date_consult>
|
Date
Consulted in Patient's record
|
| <date_exam>
|
The
Visit Date |
<date_illness>
|
Date
of Illness in Patient's record
|
| <date_lastvisit>
|
Last
Visit in Visits tab in Patient's record
|
| <date_nextvisit>
|
Next
appointment in patient appointment list
|
| <date_POEnds>
|
The
PO Ends Date on Patient's Billing tab
|
| <doc_consult>
|
Consulting
doctor's Saluation and Last name
|
| <doc_med>
|
Primary
doctor's Salutation and Last name
|
| <doc_other>
|
Other
doctor's Salutation and Last name
|
<doc_fax>
|
Primary
doctor's fax number
|
<doc_phone>
|
Primary
doctor's phone
|
<doc_refer>
|
Referring
doctor's Salutation and Last name
|
<Dx1>
|
Proper
Case Of Diagnosis 1 On Letter Itself |
<Dx2>
|
Proper
Case Of Diagnosis 2 On Letter Itself |
| <Dx3> |
Proper
Case Of Diagnosis 3 On Letter Itself |
| <Dx4> |
Proper
Case Of Diagnosis 4 On Letter Itself |
| <dx1> |
lower
case of Diagnosis 1 on letter itself |
| <dx2> |
lower
case of Diagnosis 2 on letter itself |
| <dx3> |
lower
case of Diagnosis 3 on letter itself |
| <dx4> |
lower
case of Diagnosis 4 on letter itself |
| <dx1des3>
|
Narrative
record associated with Diagnosis 1 on invoice
|
| <dx2des3>
|
Narrative
record associated with Diagnosis 2 on invoice |
| <dx3des3>
|
Narrative
record associated with Diagnosis 3 on invoice |
| <dx4des3>
|
Narrative
record associated with Diagnosis 4 on invoice |
<employer>
|
Employer's
name on Patient's record
|
<examiner>
|
Examiner's
name (from Personnel)
|
<fax_addressee>
|
Addresse's
fax number
|
| <fax_primary> |
Primary
provider's fax number
|
| <fax_referring> |
Referring
provider's fax number |
| <fax_other> |
Other
provider's fax number |
| <Fname>
|
Patient's
First name (Proper Case)
|
| <fullname>
|
Patient's
Salutation and Full Name
|
| <He>
|
He
or She, sex specific
|
| <he>
|
he
or she, sex specific
|
| <him>
|
him
or her, sex specific |
| <His>
|
His
or Her, sex specific |
| <ID> |
Primary
Insurance Coverage record ID
|
<ins_name>
|
Primary
Insurance Coverage record Name
|
<ins_elig_phone>
|
Primary
Insurance Coverage record Eligibility Phone
|
<ins_phone>
|
Primary
Insurance Coverage record Phone
|
<ins_precert_phone>
|
Primary
Insurance Coverage record Precert Phone
|
<ins_fax>
|
Primary
Insurance Coverage record Fax
|
<patient>
|
Patient
Full Name
|
<pat_address>
|
Patient's
Address
|
| <patage>
|
Patient's
Age
|
| <patphone>
|
Patient
Home Phone (if available)
|
| <patsex>
|
Patient
Gender
|
| <phone_primary>
|
Primary
Provider's phone
|
| <phone_referring>
|
Referring
Provider's phone
|
| <phone_other>
|
Other
Provider's phone
|
| <pri_ins>
|
Primary
Insurance Coverage record Name |
| <pri_ins_id>
|
Primary
Insurance Coverage record ID |
| <pri_ins_group>
|
Primary
Insurance Coverage record Group
|
| <pri_ins_rel>
|
Primary
Insurance Coverage record Realtionship
|
| <referral>
|
Primary
Doctor Salutation and Last Name
|
| <SSN>
|
Patient's
SSN , if available, if not it inserts, "No SSN on file"
|
| <subscriber_name>
|
The
Subscriber of the Primary Insurance, if empty uses the patient's name
|
<today+1>
through <today+30>
|
Adds
the number of days to Today's date
|
| <workphone> |
Work
phone on Patient's Summary screen
|