Avocado Scenario Details

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Invoice for treatment for client from Apple claim scenario

Patient:                                          Andrew Apple
DOB:                                               27/03/1945

Claim:                                            QQ00014
Accident Date:                             20/11/2017

Invoice Line Details
Service Code:                              GP1 (Or whichever code your provider type uses)
Contract ID:                                 80 (or whichever contract ID your provider type uses)
Service Date:                               Today's date
Billing Method:                           Units
Units Claimed:                            1
Invoice Amount:                         31.53 (or the amount for the service you have chosen)
Invoice Comment:                     Test invoice for avocado scenario
Purchase Order number:         Empty

Provider:                                     Your Test Provider ID
Vendor:                                       Your Test Vendor ID
Declaration Date:                      Today's date